Application Effect of Ultrasound-Guided Erector Spinal Plane Block Combined with Laryngeal Mask Airway Anesthesia in Radical Surgery of Lung Cancer
Objective To explore the clinical effect of ultrasound-guided erector spinae plane block(ESPB)combined with laryngeal mask anesthesia in patients undergoing radical surgery for lung cancer.Methods A total of 104 patients with non-small cell lung cancer(NSCLC)who underwent thoracoscopic radical resection of lung cancer in Zhoukou Central Hospital from June 2018 to June 2022 were selected and divided into two groups by random number table method,with 52 cases in each group.The control group received combined laryngeal mask airway anesthesia,and the observation group received ESPB combined laryngeal mask airway anesthesia under ultrasound guidance.The hemodynamic indexes(heart rate and mean arterial pressure)before anesthesia induction and during intubation were compared between the two groups.The pain degree at 15 minutes,6 and 12 hours after recovery from anesthesia assessed by visual analogue scale(VAS).The duration of extubation,recovery,anesthesia recovery room and the incidence of agitation at 15 minutes after anesthesia recovery were compared between the two groups[assessed by the agitation behavior scale(ABS)].Results Comparison of heart rate and mean arterial pressure between intubation and before anesthesia induction in two groups,the difference was not statistically significant(P＞0.05).At 15 minutes,6 and 12 hours after recovery from anesthesia,the VAS scores of the two groups increased,but compared with the control group,the VAS scores of the observation group at each time point were lower(P＜0.05).Compared with the control group,the extubation time,awakening time and the stay time in the anesthesia and resuscitation room in the observation group were shorter(P＜0.05).15 minutes after recovery from anesthesia,the incidence of restlessness in the observation group was lower than that in the control group(P＜0.05).Conclusion Ultrasound-guided ESPB combined with laryngeal mask ventilation anesthesia has little effect on hemodynamics in patients undergoing NSCLC surgery,and has a strong analgesic effect.It can shorten the time of extubation,recovery and anesthesia resuscitation room,and reduce the incidence of agitation during recovery.
万方数据
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