The Value of Ultrasound-Guided Thoracic Paravertebral Nerve Block in Postoperative Pain Relief and Its Impact on Cognitive Function After Thoracoscopic Lung Cancer Radical Surgery
Objective:To explore the effects of ultrasound-guided thoracic paravertebral nerve block on postoperative analgesia and cognitive function in patients undergoing thoracoscopic radical resection of lung cancer,to determine its value in postoperative analgesia.Methods:68 patients who were about to be treated with thoracoscopic radical lung cancer surgery,were randomly divided into general anesthesia group and general anesthesia+ultrasound-guided thoracic paraspinal nerve block;The VAS,MMSE and MoCA scale scores at 12,24 and 48h after surgery and incidence of anesthetics adverse effects were analysised in both groups.Results:The VAS scores of the general anesthesia+TPVB group were lower than those of the general anesthesia group on postoperative day 1 and week 1(P<0.05);The MMSE score and MoCA score of the general anesthesia+TPVB group were higher than those of the general anesthesia group on postoperative day 1(P<0.05);The incidence of adverse reactions in the general anesthesia+TPVB group was 14.30%,which was lower than the 36.36%in the general anesthesia group(P<0.05).Conclusion:Ultrasound-guided thoracic paraspinal nerve block have less postoperative pain,cognitive improvement,fewer postoperative adverse effects in patients undergoing thoracoscopic radical lung cancer surgery,is beneficial for the recovery of patients.
thoracic paraspinal blockcognitive levelpostoperative analgesiaradical resection of lung cancerultrasound-guided
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