超声引导下胸椎旁神经阻滞用于胸腔镜手术的效果

Ultrasound Guided Thoracic Paravertebral Nerve Block for Thoracoscopic Surgery

目的探讨超声引导下胸椎旁神经阻滞用于胸腔镜手术患者术后镇痛疗效。方法根据数字表法将2016年1月—2017年10月收治的90例胸腔镜手术患者分组。对照组用PCIA镇痛方法,观察组进行超声引导下胸椎旁神经阻滞。比较效果。结果观察组胸腔镜手术麻醉效果高于对照组,P<0.05;观察组恶心呕吐等并发症发生率低于对照组,P<0.05;术后1小时、术后3小时、术后6小时和术后12小时、术后24小时,观察组疼痛VAS评分水平低于对照组,P<0.05。观察组补救镇痛次数低于对照组,P<0.05。结论超声引导下胸椎旁神经阻滞效果更好。

Objective To investigate the postoperative analgesic effect of ultrasound guided thoracic paravertebral nerve block for thoracoscopic surgery. Methods According to the digital table method, 90 patients with thoracoscopic surgery from January 2016 to October 2017 were grouped. PCIA analgesia was used in the control group and ultrasound-guided thoracic paravertebral block was performed in the observation group. The results were compare. Results The anesthetic effect of thoracoscopic surgery was higher in the observation group than in the control group（P〈0.05）. The incidence of complications such as nausea and vomiting was lower in the observation group than in the control group, P〈0.05; 1 hour, 3 hours, 6 hours, 12 hours and 24 hours after operation, the VAS score of the observation group was lower than that of the control group, P〈0.05. The number of rescue analgesia in the observation group was lower than that in the control group, P〈0.05. Conclusion Ultrasound-guided thoracic paravertebral nerve block is more effective in thoracoscopic surgery.