摘要
目的:对胸腔镜肺癌根治术患者实施超声引导下胸椎旁神经阻滞麻醉剂镇痛的效果进行观察。方法:选取2018-03-2019-0342例肺癌根治术患者,随机分为观察组与对照组,各21例。对照组实施全身麻醉加术后静脉镇痛,观察组实施超声引导下胸椎旁神经阻滞麻醉与术后镇痛,对两组术后不同时间点VAS评分进行对比。结果:术后30min、6h观察组静息状态、咳嗽状态下VAS评分均低于对照组(P<0.05),术后12h、24h,两组VAS评分无明显差异(P>0.05)。结论:对胸腔镜肺癌根治术患者实施超声引导下胸椎旁神经阻滞麻醉,镇痛效果明显,值得推广。
OBJECTIVE To observe the analgesic effect of thoracic paravertebral nerve block under the guidance of ultrasound in patients undergoing thoracoscopic radical resection of lung cancer.METHODS from March 2018 to March2019,42 patients with lung cancer undergoing radical resection were randomly divided into the observation group and the control group,21 cases each.The control group received general anesthesia plus postoperative intravenous analgesia,and the observation group received ultrasound-guided paravertebral nerve block anesthesia and postoperative analgesia.The VAS scores of the two groups were compared at different time points.RESULTS the VAS score of the observation group was lower than that of the control group(P<0.05)in resting state and cough state at 30 minutes and 6 hours after operation,and there was no significant difference between the two groups at 12 hours and 24 hours after operation(P>0.05).CONCLUSION the anesthesia of paravertebral nerve block under the guidance of ultrasound is effective and worth popularizing.
出处
《中华肿瘤防治杂志》
CAS
北大核心
2020年第S01期67-67,69,共2页
Chinese Journal of Cancer Prevention and Treatment
关键词
胸腔镜
肺癌根治术
超声
胸椎旁神经阻滞麻醉
镇痛
thoracoscopy
radical resection of lung cancer
ultrasound
paravertebral nerve block anesthesia
analgesia
