Analgesic effect of sufentanil combined with ropivacaine on ultrasound-guided thoracic paravertebral nerve block
Objective To observe the analgesic effect of sufentanil combined with ropivacaine on ultrasound-guided thoracic paravertebral nerve block.Methods The clinical data of 74 patients with thoracoscopic surgery admitted were retrospectively analyzed,and the patients were divided into control group(n=37)and observation group(n=37)according to the different analgesia methods.The control group received general anesthesia analgesia regimen,and the observation group was given ultrasound-guided thoracic paravertebral nerve block anesthesia regimen with sufentanil combined with ropivacaine.The basic surgical conditions(surgical time,intraoperative blood loss and intraoperative fluid replacement volume)were compared between the 2 groups.The changes in mean arterial pressure and heart rate in the 2 groups were observed before anesthesia,before section,at 10 min after skin incision and after the end of surgery.The postoperative analgesic effect and postoperative recovery(postoperative recovery time,ambulation time and hospital stay)were compared,and the occurrence of anesthesia adverse reactions in the 2 groups were counted.Results There was no significant difference in the surgical time,intraoperative blood loss and intraoperative fluid replacement volume between the 2 groups(P>0.05).There was no significant difference in mean arterial pressure and heart rate between the 2 groups before section,at 10 min after skin incision and after the end of surgery(P>0.05).The VAS in observation group at 2,4 and 8 hours after surgery were lower than those in control group(P<0.05).The postoperative recovery time,ambulation time and hospital stay in observation group were shorter than those in control group(P<0.05).The incidence rates of anesthesia adverse reactions in observation group were lower than those in control group(P<0.05).Conclusion Ultrasound-guided thoracic paravertebral nerve block anesthesia with sufentanil combined with ropivacaine for patients with thoracoscopic surgery has a good postoperative analgesic effect,which can accelerate the postoperative recovery of patients,and has low incidence rates of adverse anesthesia reactions.
万方数据
维普
