全麻复合胸椎管旁神经阻滞与单纯全身麻醉在胸科手术中及手术后镇痛效果对比

Comparison of analgesic effect between general anesthesia combined with paraspinal nerve block and general anesthesia alone in thoracic surgery

目的对比胸科手术患者行全麻复合胸椎管旁神经阻滞与单纯全身麻醉的效果。方法选取2018年6月至2019年6月本院收治的胸科手术患者60例,随机分为对照组与观察组,各30例。对照组行单纯全身麻醉,观察组行全麻复合胸椎管旁神经阻滞,对比两组效果。结果观察组患者术中及术后12 h芬太尼用量均少于对照组,术毕镇痛泵按压次数少于对照组,差异有统计学意义(P<0.05);术后1、6、12 h,观察组静息和咳嗽VAS评分均低于对照组,差异有统计学意义(P<0.05)。结论全麻复合胸椎管旁神经阻滞麻醉在胸科手术中的应用效果显著,能缓解术后疼痛,减少麻醉药物用量,且镇痛效果显著,值得临床推广应用。

Objective To compare the effect of general anesthesia combined with paraspinal nerve block in thoracic surgery with that of general anesthesia alone.Methods 60 patients with thoracic surgery in our hospital from June 2018 to June 2019 were randomly divided into control group and observation group,with 30 cases in each group.The control group received simple general anesthesia,while the observation group received general anesthesia combined with thoracic paraspinal nerve block,and the effects were compared between the two groups.Results The amount of fentanyl used in the observation group was less than that in the control group at the time of operation and 12 h after operation,and the number of times of compression of analgesia pump after operation was less than that in the control group,which was statistically significant(P<0.05).The VAS scores of rest and cough at 1,6 and 12 h after operation in the observation group were lower than that in the control group,which was statistically significant(P<0.05).Conclusion The application of general anesthesia combined with paraspinal nerve block anesthesia in thoracic surgery has significant effect on relieving postoperative pain and reducing the dosage of narcotic drugs,which is worthy of clinical reference.