| 胸椎旁神经阻滞应用于全麻胸腔镜肺部手术患者中的作用 |
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| 引用本文： | 王涛. 胸椎旁神经阻滞应用于全麻胸腔镜肺部手术患者中的作用[J]. 中国实用医药, 2021, 0(5): 15-17 |
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| 作者姓名： | 王涛 |
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| 作者单位： | 沈阳市第十人民医院沈阳市胸科医院麻醉科 |
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| 摘 要： | 目的 探究胸椎旁神经阻滞(TPVB)应用于全身麻醉(全麻)胸腔镜肺部手术患者中的效果.方法 104例全麻胸腔镜肺部手术患者,随机分为试验组与对照组,每组52例.对照组未应用术前药物,试验组行超声引导下TPVB.比较两组术后24 h(T2)、术后48 h(T3)时段自控静脉镇痛(PCIA)按压次数、地佐辛输注总量,两组术...
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| 关 键 词： | 胸椎旁神经阻滞 胸腔镜肺部手术 疼痛指数 不良反应 炎症因子 嗜睡 恶心呕吐 |
The role of thoracic paravertebral block in patients undergoing thoracoscopic pulmonary surgery under general anesthesia |
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| WANG Tao. The role of thoracic paravertebral block in patients undergoing thoracoscopic pulmonary surgery under general anesthesia[J]. China Practical Medical, 2021, 0(5): 15-17 |
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| Authors: | WANG Tao |
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| Affiliation: | (Department of Anesthesiology,Shenyang Chest Hospital,Shenyang Tenth People's Hospital,Shenyang 110044,China) |
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| Abstract: | Objective To investigate the effect of thoracic paravertebral block(TPVB)in patients undergoing thoracoscopic pulmonary surgery under general anesthesia.Methods A total of 104 patients with thoracoscopic pulmonary surgery under general anesthesia were randomly divided into experimental group and control group,with 52 cases in each group.The control group received no preoperative medication,and the experimental group received ultrasound-guided TPVB.The patient-controlled intravenous analgesia(PCIA)compressions,total amount of dezocine infusion at 24 h after operation(T2)and 48 h after operation(T3),visual analogue scale(VAS)score at 2,12,24 and 48 h after operation,inflammatory factor levels and occurrence of adverse reactions were compared between the two groups.Results The number of PCIA compressions at T2 and T3 and the total amount of dezocine infusion in the experimental group were less than those in the control group,and the difference was statistically significant(P<0.05).The VAS score at 2,12,24 and 48 h after operation of the experimental group were(2.45±0.32),(1.68±0.22),(1.09±0.15)and(0.92±0.11)points,which were all lower than(3.18±0.41),(2.54±0.35),(1.72±0.24)and(1.26±0.15)points of the control group,and the difference was statistically significant(P<0.05).The levels of interleukin-6(IL-6),interleukin-10(IL-10),C-reactive protein(CRP)and tumor necrosis factor-α(TNF-α)of the experimental group were lower than those of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reaction of the experimental group was 5.77%(3/52),which was lower than 19.23%(10/52)of the control group,and the difference was statistically significant(P<0.05).Conclusion Thoracic paravertebral block is of practical value for patients undergoing thoracoscopic pulmonary surgery under general anesthesia. |
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| Keywords: | Thoracic paravertebral block Thoracoscopic pulmonary surgery Pain index Adverse reactions Inflammatory factors Lethargy Nausea and vomiting |
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