超声引导连续胸椎旁神经阻滞复合右美托咪定麻醉在食管癌手术中的应用效果  

Application effect of continuous thoracic paravertebral nerve block guided by ultrasound combined with dexmedetomidine anesthesia in the esophageal cancer surgery

作　　者：宋俊杰[1] 尚平平[1] 陈勇[1] 陈英[1] 范军朝[1] SONG Jun-jie;SHANG Ping-ping;CHEN Yong;CHEN Ying;FAN Jun-zhao(the First Affiliated Hospital of Henan University,Kaifeng 475001,China)

机构地区：[1]河南大学第一附属医院,河南开封475001

出　　处：《临床医学研究与实践》2020年第18期18-19,共2页Clinical Research and Practice

基　　金：开封市科技发展计划项目(No.1803012)。

摘　　要：目的探究超声引导连续胸椎旁神经阻滞复合右美托咪定麻醉在食管癌手术中的应用效果。方法将78例食管癌患者随机分为观察组和对照组,各39例。观察组采用超声引导连续胸椎旁神经阻滞复合右美托咪定麻醉,对照组采用超声引导连续胸椎旁神经阻滞。比较两组的麻醉效果。结果观察组的不良反应总发生率低于对照组(P<0.05)。T1、T2、T3、T4时,观察组的皮质醇水平及VAS评分均低于对照组(P<0.05)。结论将超声引导连续胸椎旁神经阻滞复合右美托咪定麻醉应用于食管癌手术中,可降低应激反应及不良反应发生率。Objective To explore the application effect of continuous thoracic paravertebral nerve block guided by ultrasound combined with dexmedetomidine anesthesia in esophageal cancer surgery.Methods A total of 78 esophageal cancer patients were randomly divided into observation group and control group,with 39 cases in each group.The observation group used continuous thoracic paravertebral nerve block guided by ultrasound combined with dexmedetomidine anesthesia,the control group used continuous thoracic paravertebral nerve block guided by ultrasound.The anesthesia effect of the two groups was compared.Results The total incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).At T1,T2,T3 and T4,the cortisol levels and VAS scores of the observation group were lower than those of the control group(P<0.05).Conclusion Continuous thoracic paravertebral nerve block guided by ultrasound combined with dexmedetomidine anesthesia can reduce the stress response and incidence of adverse reactions in esophageal cancer surgery.

关 键 词：超声引导连续胸椎旁神经阻滞 右美托咪定 食管癌 

分 类 号：R614[医药卫生—麻醉学]