摘要
目的:探讨连续竖脊肌平面阻滞在胸腔镜手术中的应用。方法:选择2020-9到2021-3我院肺癌经胸腔镜切除术(video-assisted-thoracoscopic-surgery VATS)老年患者90例为对象,随机分为两组。CE组:全麻复合连续竖脊肌平面阻滞(CESPB);GA组:全麻术后静脉镇痛(PCIA)。记录两组患者术中麻醉药物用量,平均动脉压,心率,苏醒时间,术后视觉模拟疼痛(VAS)评分及术后恶心呕吐和低氧血症的发生率。结果:两组丙泊酚、瑞芬太尼用量,麻醉苏醒时间上有统计学差异;术后1h、6h、12h、48h VAS评分,咳嗽时CE组低于GA组,有统计学差异;术后恶心呕吐、低氧血症发生率CE组低于GA组,有统计学差异。结论:VATS中,增加CESPB,使术中血流动力学更稳定、麻醉药用量更少、镇痛效果更好,术后的恶心呕吐和低氧血症发生率更少。
Objective To investigate the utility of continuous erector spinae plane block(cESPB)perioperatively in aged patients undergoing video-assisted thoracoscopic surgery(VATS).Methods A total of 90 aged patients undergoing VATS of lung cancer from September 2020 to March 2021 were selected as subjects,and randomized divided into two groups by envelope drawing,45 cases in each group.The continuous CESPB group(CE group)and the general anesthesia.group(GA group).The intraoperative anesthetic dosage,hemodynamic stability,recovery time,postoperative visual analogue pain score(VAS),the incidence of postoperative nausea&vomiting(PONV)and hypoxemia were compared among the two groups.Result The dosage of propofol and remifentanil and the recovery time of anesthesia in CE group was lower than that in GA group.The VAS scores of CE group at 1h,6h,12h and 48h postoperative in coughing time was lower than that in GA group.Conclusion General anesthesia combined with CESPB has more hemodynamic stability,need less anaesthetic drugs,has better analgesic effect perioperatively,less happens of PONV and postoperative hypoxemia.
作者
刘浩波
周凯力
张治明
曾宾
邱海玲
Liu Hao-bo;Zhou Kai-li;Zhang Zhi-ming;Zeng Bin;Qiu Hai-ling(Chenzhou No.1 People’s Hospital,Chenzhou 423000,China;Hunan Provincial People’s Hospital,Changsha 410005,China)
出处
《湖南师范大学学报（医学版）》
2021年第4期153-155,共3页
Journal of Hunan Normal University(Medical Sciences)
关键词
连续竖脊肌平面阻滞
术后镇痛
continuous erector spinae plane block
postoperative analgesia
