Application of Ultrasound-Guided Paravertebral Nerve Block in Patients Undergoing Thoracoscopic Surgery
Objective To explore the application effect of ultrasound-guided paravertebral nerve block in patients undergoing thoracoscopic surgery.Methods Eighty patients who underwent thoracoscopic surgery in our hospital from April 2020 to April 2022 were selected as the research sample.Using a random number method,patients were randomly divided into an observation group and a control group,with 40 patients in each group.The control group received patient-controlled intravenous analgesia with opioids,while the observation group received ultrasound-guided paravertebral nerve block combined with patient-controlled intravenous analgesia with opioids.The sedation effect(Ramsay sedation score),pain level[Numerical Rating Scale(NRS)score],quality of recovery(time to first meal,time to first ambulation,length of hospital stay,first-day sufentanil consumption),and incidence of complications were compared between the two groups.Results The Ramsay sedation scores at various postoperative time points were higher in the observation group than those in the control group,with statistically significant differences(P＜0.05).The NRS scores at various postoperative time points were lower in the observation group than those in the control group,with statistically significant differences(P＜0.05).The time to first meal,time to first ambulation,and length of hospital stay were shorter in the observation group than those in the control group,and the first-day sufentanil consumption was lower in the observation group,with statistically significant differences(P＜0.05).The incidence of postoperative complications was lower in the observation group(5.00%)than that in the control group(20.00%),with statistically significant differences(P＜0.05).Conclusion In thoracoscopic surgery,the use of ultrasound-guided paravertebral nerve block has a significant analgesic effect on patients.This method not only effectively reduces pain but also helps improve the quality of recovery and reduces the risk of complications,demonstrating its safety and efficacy,and is worthy of clinical application.
万方数据
维普
