胸椎旁阻滞复合全麻在肺癌开胸手术患者中的应用  

Application of Thoracic Paravertebral Block Combined with General Anesthesia in Patients with Lung Cancer Thoracotomy

作　　者：黄俊霞[1] 代彭威[1] 郭志鹏 金道远 朱建业 张秀珍[1] HUANG Junxia;DAI Pengwei;GUO Zhipeng;JIN Daoyuan;ZHU Jianye;ZHANG Xiuzhen(Department of Anesthesiology,the Second Affiliated Hospital of Luohe Medical College,Luohe 462300,China)

机构地区：[1]漯河医学高等专科学校第二附属医院麻醉科,河南漯河462300

出　　处：《临床医学工程》2021年第7期893-894,共2页Clinical Medicine & Engineering

基　　金：2019年河南省医学科技攻关计划联合共建项目(项目编号:LHGJ20190666)。

摘　　要：目的探讨胸椎旁阻滞复合全麻在肺癌开胸手术患者中的应用效果。方法选取2018年4月至2020年5月在我院行开胸手术的76例肺癌患者,随机分为对照组(n=38)和观察组(n=38)。对照组行全身麻醉,观察组行胸椎旁阻滞复合全麻,比较两组患者麻醉诱导前(T0)、插管时(T1)、插管后5 min(T2)、拔管后5 min(T3)的平均动脉压(MAP)水平及术后6 h、术后12 h的VAS评分。结果观察组不同时间点MAP水平比较差异无统计学意义(P>0.05),对照组不同时间点MAP水平比较差异有统计学意义(P<0.05)。观察组T1时的MAP水平高于对照组,T2、T3时的MAP水平低于对照组(P<0.05)。观察组术后6 h、术后12 h的VAS评分低于对照组(P<0.05)。结论胸椎旁阻滞复合全麻可有效稳定肺癌开胸手术患者术中生命体征,降低患者术后疼痛程度。Objective To explore the application effect of thoracic paravertebral block combined with general anesthesia in patients with lung cancer thoracotomy.Methods 76 cases of patients with lung cancer thoracotomy in our hospital from April 2018 to May 2020 were selected and randomly divided into control group(n=38)and observation group(n=38).The control group received general anesthesia,and the observation group received thoracic paravertebral block combined with general anesthesia.The mean arterial pressure(MAP)levels before anesthesia induction(T0),during intubation(T1),5 min after intubation(T2)and 5 min after extubation(T3)and the VAS scores at 6 h and 12 h after operation were compared between the two groups.Results No statistical difference was found in the MAP levels at different time points in the observation group(P>0.05),but statistical difference was found in the MAP levels at different time points in the control group(P<0.05).The MAP level at T1 of the observation group was higher than that of the control group,while the MAP levels at T2 and T3 of the observation group were lower than those of the control group(P<0.05).The VAS scores at 6 h and 12 h after operation in the observation group were lower than those in the control group(P<0.05).Conclusions Thoracic paravertebral block combined with general anesthesia can effectively stabilize the vital signs,and reduce postoperative pain degree in patients with lung cancer thoracotomy.

关 键 词：肺癌 开胸手术 胸椎旁阻滞复合全麻 

分 类 号：R734.2[医药卫生—肿瘤]