高容量罗哌卡因前锯肌平面阻滞联合全身麻醉用于胸腔镜肺部手术的效果分析

Effect Analysis of High-Volume Ropivacaine Serratus Anterior Plane Block Combined with General Anesthesia in Thoracoscopic Lung Surgery

目的探究胸腔镜肺部手术中,在全身麻醉的基础上应用高容量罗哌卡因前锯肌平面阻滞的价值。方法选取河南科技大学第二附属医院2021年10月至2023年12月期间行胸腔镜肺部手术的80例患者,依据麻醉方案将其分为研究组(n=40,高容量罗哌卡因前锯肌平面阻滞+全身麻醉),对照组(n=40,全身麻醉),分析两组麻醉效果、恢复情况、疼痛情况及满意度差异。结果麻醉前,两组麻醉相关指标差异无统计学意义(P>0.05),但拔管时、拔管后5 min,研究组平均动脉压、心率低于对照组,血氧饱和度高于对照组,差异均有统计学意义(P<0.05);研究组术后苏醒、恢复自主呼吸、留置麻醉室、住院时间均短于对照组,差异均有统计学意义(P<0.05);术前,两组疼痛评分差异无统计学意义(P>0.05),术后两组疼痛评分均下降,且研究组术后2 h、术后6 h、术后12 h疼痛评分均显著低于对照组,差异均有统计学意义(P<0.05),术后24 h、术后48 h,两组疼痛评分差异无统计学意义(P>0.05);研究组术后满意度(95.00%)高于对照组(65.00%),差异具有统计学意义(P<0.05)。结论在胸腔镜肺部手术中,基于全身麻醉的背景下,灵活应用高容量罗哌卡因前锯肌平面阻滞能够增强麻醉效果,缓解疼痛情况,改善患者围手术期获得,提升满意度,具有临床应用意义。

Objective To explore the value of high-volume ropivacaine serratus anterior plane block in thoracoscopic lung surgery based on general anesthesia.Methods A total of 80 patients who underwent thoracoscopic lung surgery at The Second Affiliated Hospital of Henan University of Science and Technology from October 2021 to December 2023 were selected.According to the anesthesia plan,they were divided into the study group(n=40,high-volume ropivacaine Serratus anterior plane block+general anesthesia)and the control group(n=40,general anesthesia).The differences in anesthesia effects,recovery conditions,pain levels,and satisfaction between the two groups were analyzed.Results Before anesthesia,there were no statistically significant differences in anesthesia-related indicators between the two groups(P>0.05).However,after extubation and 5 minutes after extubation,the mean arterial pressure and heart rate in the study group were lower than those in the control group,and the oxygen saturation was higher than that in the control group,with statistically significant differences(P<0.05).The study group had shorter times for postoperative awakening,recovery of spontaneous breathing,stay in the anesthesia recovery room,and hospitalization compared to the control group,with statistically significant differences(P<0.05).Before surgery,there were no statistically significant differences in pain scores between the two groups(P>0.05).After surgery,the pain scores in both groups decreased,and the pain scores at 2 hours,6 hours,and 12 hours postoperatively in the study group were significantly lower than those in the control group,with statistically significant differences(P<0.05).There were no statistically significant differences in pain scores between the two groups at 24 hours and 48 hours postoperatively(P>0.05).The postoperative satisfaction rate in the study group(95.00%)was higher than that in the control group(65.00%),with a statistically significant difference(P<0.05).Conclusion In thoracoscopic lung surgery,the flexible application of high-volume ropivacaine Serratus anterior plane block based on general anesthesia can enhance the anesthesia effect,alleviate pain,improve perioperative outcomes,and increase patient satisfaction.It has clinical application significance.