Effect of stellate ganglion block combined with thoracic paravertebral block on postoperative pain in patients undergoing thoracoscopic lung cancer surgery
Effect of stellate ganglion block combined with thoracic paravertebral block on postoperative pain in patients undergoing thoracoscopic lung cancer surgery
目的 观察星状神经节阻滞(SGB)联合胸椎旁阻滞(TPVB)对胸腔镜肺癌手术病人术后疼痛的临床疗效.方法 选取我院2023年1-6月在胸腔镜下行肺癌手术治疗的病人80例,随机将病人分到SGB联合TPVB组(T组)和TPVB组(C组).记录病人术后不同时间点的数字疼痛评分法(NRS)评分和Ramsay评分,术中舒芬太尼和瑞芬太尼用量,术后镇痛泵的有效按压次数和补救镇痛次数.结果 T组病人的术后2、6 h静息和运动 NRS 评分低于 C 组(Z=1.962～5.807,P＜0.05),术后 0.5 h 运动 NRS 评分低于 C 组(Z=3.844,P＜0.05).T组病人的术中舒芬太尼用量、术后48 h内有效按压次数少于C组(Z=3.671、4.284,P＜0.05).结论 SGB联合TPVB可以减少胸腔镜肺癌手术病人术中和术后阿片类用药,减轻术后疼痛.
Abstract
Objective To investigate the clinical efficacy of stellate ganglion block(SGB)combined with thoracic paraverte-bral block(TPVB)in the treatment of postoperative pain in patients undergoing thoracoscopic lung cancer surgery.Methods A total of 80 patients who underwent thoracoscopic lung cancer surgery in our hospital from January to June 2023 were enrolled and randomly divided into SGB+TPVB group(group T)and TPVB group(group C).Numerical Rating Scale(NRS)score and Ram-say score were recorded at different time points after surgery,as well as the amount of sufentanil and remifentanil used during sur-gery,the number of effective presses of analgesia pump after surgery,and the number of salvage analgesia attempts.Results Compared with group C,group T had significantly lower NRS scores in resting and exercise states at 2 and 6 h after surgery(Z=1.962-5.807,P＜0.05)and a significantly lower NRS score in exercise state at 0.5 h after surgery(Z=3.844,P＜0.05).Com-pared with group C,group T had significantly lower amount of sufentanil and remifentanil used during surgery and number of effec-tive presses within 48 h after surgery(Z=3.671,4.284,P＜0.05).Conclusion SGB combined with TPVB can reduce the amount of opioids used during and after surgery and alleviate postoperative pain in patients undergoing thoracoscopic lung cancer surgery.
维普
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