Application of percutaneous acupoint electrical stimulation combined with ultrasound-guided thoracic paravertebral nerve block in thoracoscopic radical resection of lung cancer
Objective To observe the effect of percutaneous electrical stimulation(TEAS)combined with ultrasound-guided thoracic paravertebral nerve block(UTPVB)in thoracoscopic radical resection of lung cancer.Methods A total of 65 cases of radical thoracoscopic radical resection of lung cancer patients were randomly divided into control group(33 cases)and treatment group(32 cases).Control group was treated with UTPVB,and treatment group was treated with TEAS on the basis of control group.The scores of Rest and Cough Pain Simulation Scale(VAS)at 3 h and 48 h after surgery,the contents of carbohydrate antigen(CA)125 and carcinoembryonic antigen(CEA)before and 48 h after surgery,the contents of CD4+T and CD8+T at 48 h before and after operation,systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate(HR)before anesthesia induction and 6 h after operation,the rates of nausea and vomiting and cognitive impairment at 48 h after operation,and the recovery time in the two groups were compared.Results 48 h after surgery,the VAS scores in both groups were lower than those at 3 h after surgery;the VAS scores in treatment group were lower than those in control group in the same period after surgery(P＜0.05);the levels of CA1 25 and CEA in both groups were lower than before surgery(P＜0.05),but there was no statistically significant difference in the levels of CA125 and CEA between the two groups(P＞0.05);the CD4+T content in both groups was lower than before surgery,and was higher than before surgery,and was higher in treatment group than control group,while the CD8+T content was lower than that in control group(P＜0.05);6 h after surgery,SBP,DBP,and HR in both groups were lower than before surgery,and were higher in treatment group than control group(P＜0.05);the rates of nausea,vomiting,and cognitive impairment in treatment group were lower than control group(P＜0.05);treatment group had shorter awakening,exhaust,eating,getting out of bed time and hospital stay than control group(P＜0.05).Conclusion TEAS combined with UTPVB in thoracoscopic radical resection of lung cancer can significantly reduce resting and cough pain,improve cellular immune damage,maintain vital signs,prevent nausea,vomiting and cognitive impairment,and accelerate recovery.
NETL
NSTL
万方数据
