超声引导前锯肌平面阻滞对单孔胸腔镜肺癌根治术患者应激反应及术后疼痛的影响

Effect of the Plane Block on the Stress and Post-Operative Pain of Patients with Single-Hole Thoracoscopic Lung Cancer

目的探究超声引导前锯肌平面阻滞对单孔胸腔镜肺癌根治术患者应激反应及术后疼痛的影响。方法随机选取我院2018年12月至2019年5月收治的行单孔胸腔镜肺癌根治术患者60例,随机分为两组。结果两组患者麻醉诱导前PGE2、NE、Cor水平无显著差异(P>0.05),研究组手术2 h(T3)、术后24 h(T5)的PGE2、NE、Cor水平明显低于对照组(P<0.05);研究组术后PHPS评分、Ramsay评分明显优于对照组(P<0.05);研究组的不良反应发生率明显低于对照组(P<0.05)。结论超声引导前锯肌平面阻滞能够减少单孔胸腔镜肺癌根治术患者应激反应,缓解术后疼痛,值得推广。

Objective To investigate the effect of ultrasound-guided anterior serratus plane block on stress response and postoperative pain in patients undergoing radical resection of single-port thoracoscopic lung cancer.Method A total of 60 patients with single-hole thoracoscopic radical lung cancer admitted to our hospital from December 2018 to May 2019 were randomly selected and divided into two groups.Results There was no significant difference in PGE2,NE and Cor levels between the two groups before anesthesia induction(P>0.05),and PGE2,NE and Cor levels in the study group were signi ficantly lower than those in the control group(P<0.05)at 2 h(T3)and 24 h(T5)after surgery.Post operative PHPS score and Ramsay score in the study group were signi ficantly better than those in the control group(P<0.05).The incidence of adverse reactions in the study group was significantly lower than that in the control group(P<0.05).Conclusion Ultrasound-guided serratus anterior plane block can reduce stress response and relieve postoperative pain in patients undergoing radical resection of single-port thoracoscopic lung cancer.