超声引导下胸椎旁神经阻滞在胸腔镜下肺癌根治术中的应用  

Application of ultrasound-guided thoracic paravertebral nerve block in thoracoscopic radical resection of lung cancer

作　　者：于玉娟 徐青荣 廖建文[1] 洪涛[1] Yu Yujuan;Xu Qingrong;Liao Jianwen;Hong Tao(Department of Anesthesiology,Changzhou No.1 People's Hospital,Changzhou, Jiangsu 213003,China)

机构地区：[1]常州市第一人民医院麻醉科,江苏常州213003

出　　处：《医药前沿》2019年第27期22-24,共3页Journal of Frontiers of Medicine

摘　　要：目的:评价超声引导下胸椎旁神经阻滞在胸腔镜下肺癌根治术中的临床应用价值.方法:选取我院2018年3-12月择期行胸腔镜下肺癌根治术的患者60例,随机划分为A组(全麻复合胸椎旁阻滞)、B组(全麻复合硬膜外麻醉)、C组(全身麻醉),各20例.比较各组患者血流动力学指标.结果:各组患者T0时刻MAP比较差异不显著(P>0.05);和T0相比,A组T1-T8时段MAP、HR无显著改变(P>0.05),但B组和C组波动幅度差异显著(P<0.05);C组T3-T6时刻BIS值均低于A组和B组,各数据间比较差异有统计学意义(P<0.05).同时,A组麻醉药剂量及苏醒时间少于B组和C组,差异有统计学意义(P<0.05).结论:胸腔镜下肺癌根治术采用超声引导下胸椎旁神经阻滞能够有效改善机体血流动力学指标,安全可靠.Objective To evaluate the clinical value of ultrasound-guided thoracic paravertebral nerve block in thoracoscopic radical resection of lung cancer Methods 60 patients undergoing selective thoracoscopic radical resection of lung cancer in our hospital from March 2018 to December 2018 were randomly divided into group A(general anesthesia combined with thoracic paraverter block),group B(general anesthesia combined with thoracic epidural nerve block) and group C(simple general anesthesia),each with 20 patients.The hemodynamic parameters of each group were compared. Results MA pat T0 time was similar in each group(P>0.05).However,MAP and HR at t2-t6 in group B were lower than those in group A and C,and the comparison between the data was significant(P<0.05).BIS values at t3-t6 in group C were all lower than those in group A and group B,and the comparison between the data was significant(P<0.05). Conclusion during thoracoscopic lung cancer radical resection,ultrasound-guided thoracic paravertebral nerve block can effectively improve hemodynamic indexes of the body, which is safe and reliable.

关 键 词：超声引导 胸椎旁神经阻滞 胸腔镜 肺癌根治术 效果 

分 类 号：R730.56[医药卫生—肿瘤]