Comparison of analgesic effects of ultrasus-guided erector spinal muscle plane block and thorac-ic paravertebral nerve block in radical renal carcinoma surgery
Objective To compare the analgesic effect of thoracic paravertebral nerve block and ultrasonic-guided erectile spinal plane block in radical renal carcinoma.Methods Clinical data of 120 patients who underwent radical nephrectomy in our hospital from August 2022 to September 2023 were retrospectively analyzed.According to different anesthesia methods,the patients were divided into erectile spinal plane block group and thoracic paravertebral nerve block group,60 cases in each group.The postoperative analgesic effect,comfort,hemodynamic parameters,stress response,the number of analgesic pump,the total amount of analgesic drug infusion,and the incidence of postoperative compli-cations were statistically analyzed in the two groups.Results At 2 h(T,),4 h(T2),12 h(T3),1 d(T4),2 d(T5),the visual analogue scale(VAS)scores of patients in erectile spinal plane block group were lower than those in thoracic paravertebral nerve block group(all P＜0.05),Bruggrmann comfort scale(BCS)scores were higher than those in thoracic paravertebral nerve block group(all P＜0.05).Heart rate and arterial pressure of patients in erectile spinal plane block group were lower than those in thoracic paravertebral nerve block group(all P＜0.05).At 30 min after operation and extubation,serum cortisol(Cor),blood glucose(Glu),interleukin-6(IL-6)levels in the erectile spinal plane block group were lower than those in the thoracic paravertebral nerve block group(all P＜0.05),serum Apelin-13 levels were higher than those in thoracic paravertebral nerve block group(all P＜0.05).The number of analgesic pump compressions and the total amount of analgesic drug infu-sion from 0 to 24 h in erector spinal plane block group were lower than those in thoracic paravertebral nerve block group(all P＜0.05).The incidence of postoperative complications in erector spinal plane block group was lower than that in thoracic paravertebral nerve block group[23.33％(14/60)vs.45.00％(27/60),x2=6.261,P＜0.05].Conclusions The analgesic effect of erector spinal plane block guided by ultrasound is better than that of thoracic paravertebral nerve block in radical nephrecto-my of renal carcinoma.
NETL
NSTL
万方数据
