首页|竖脊肌平面阻滞联合羟考酮对胸腔镜肺癌根治术老年患者的应用效果及术后谵妄发生率

竖脊肌平面阻滞联合羟考酮对胸腔镜肺癌根治术老年患者的应用效果及术后谵妄发生率

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目的:探讨竖脊肌平面阻滞联合术后羟考酮自控镇痛对胸腔镜肺癌根治术老年患者的应用效果及术后谵妄发生率.方法:选取我院2021.1~2023.12收治的80例实施胸腔镜肺癌根治术的患者,分为观察组(常规全麻,术后氟比洛芬酯注射液+舒芬太尼静脉自控镇痛)与对照组(常规全麻+竖脊肌平面阻滞,术后氟比洛芬酯注射液+羟考酮静脉自控镇痛),各40例.对比两组相关指标.结果:观察组在T2和T3时间的SPO2均高于对照组,DBP、SBP均低于对照组,在T3时间的HR低于对照组(P<0.05);观察组患者术后活动时与静息时VAS评分均低于对照组(P<0.05);观察组手术时间长于对照组,麻醉药用量及苏醒时间均低于对照组(P<0.05);观察组DAM评分及谵妄发生率低于对照组(P<0.05).结论:胸腔镜肺癌根治术老年患者术中在全身麻醉基础上增加竖脊肌平面阻滞联合术后羟考酮自控镇痛可稳定患者术中生命体征,减轻术后疼痛程度,减少麻醉药用量,缩短苏醒时间,降低患者术后谵妄发生率.
The Application Effect of Erector Spinae Plane Block Combined with Hydroxycodone in Elderly Patients undergoing Thoracoscopic Radical Resection of Lung Cancer and the Incidence of Postoperative Delirium
Objective:Explore the sma vertical plane block joint oxycodone self-control analgesia on postoperative thoracoscope of elderly patients with lung cancer radical application effect and the incidence of postoperative delirium.Methods:Selected from the records of 80 cases of 2021.1~2023.12 implementation of thoracoscope lung cancer patients with radical prostatectomy,divided into ob-servation group(general anesthesia,postoperative flurbiprofen ester+sufentanil injection)and the control group(conventional sma+verti-cal plane block general anesthesia,postoperative flurbiprofen acetate injection+oxycodone),40 cases in each.Compare the two groups of relevant indicators.Results:SIn time of T2 and T3 SPO2 observation group were higher than that of control group,DBP and SBP were lower than the control group,HR at T3 time than controls(P<0.05);The VAS scores in the observation group were lower than those in the control group(P<0.05).Group operating time is longer than the control group,drug dosage and awakening time were lower than control group(P<0.05);Observation group DAM score and the incidence of delirium is lower than the control group(P<0.05).Conclusion:Tho-racoscope in elderly patients with lung cancer radical surgery during general anesthesia based on sma increase vertical plane block com-bined with oxycodone self-control analgesia can be stable after the intraoperative vital signs,reduce postoperative pain degree,reduce drug dosage,shortening the time of awakening,decrease the incidence of postoperative delirium.

Sma vertical plane blockOxycodoneThoracoscope lung cancer radical

冯建梅、王瑗、卫白杨、张东东、高媛媛

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空军军医大学唐都医院麻醉科 陕西西安 710038

西安医学院第二附属医院手麻科 陕西西安 710038

竖脊肌平面阻滞 羟考酮 胸腔镜肺癌根治术

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(22)