超声联合神经刺激仪引导下椎旁神经阻滞在胸腔镜手术中的应用  

Application of Ultrasound Combined With Neural Stimulator in the Treatment of Paraspinal Resection in Thoracoscopic Surgery

作　　者：刘敦花[1] 吴军[1] 刘海艳[1] 孙洋[1] 

机构地区：[1]黑龙江省医院麻醉科,黑龙江哈尔滨150036

出　　处：《中国卫生标准管理》2017年第24期128-129,共2页China Health Standard Management

摘　　要：目的探讨超声联合神经刺激仪引导下椎旁神经阻滞在胸腔镜手术中的应用效果。方法选取择期胸腔镜手术患者60例,随机分为A、B两组,每组各30例。A组于全麻前采用超声联合神经刺激仪引导下椎旁神经阻滞,B组即气管插管全麻,对两组观察数据进行分析。结果 A组VAS疼痛评分与B组比较,差异有统计学意义(P<0.05);两组PCIA的按压次数比较差异有统计学意义(P<0.05)。结论超声联合神经刺激仪引导下椎旁神经阻滞手术的顺利,成功率高,并发症少,患者恢复时间较短。Objective To investigate the effect of paravertebral nerve block guided by ultrasonography combined with nerve stimulation in thoracoscopic surgery. Methods 60 patients undergoing elective thoracoscopic surgery were randomly divided into A group and B group, 30 cases in each group. A group was treated with ultrasound combined with nerve stimulation instrument to induce paravertebral nerve block, B group was treated with tracheal intubation general anesthesia, observation data of two groups were analyzed. Results The VAS pain score of group A was significantly different from that of group B （P 〈 0.05）. There was significant difference in the number of single PCIA between the two groups （P 〈 0.05）. Conclusion Ultrasound combined with nerve stimulation is the best way to treat paravertebral nerve block. The success rate is high, the complication is fewer and the recovery time is shorter.

关 键 词：超声 椎旁神经阻滞 胸腔镜手术 

分 类 号：R614[医药卫生—麻醉学]