超声引导下胸椎旁神经阻滞在食管癌手术患者中的应用  

Application of Ultrasound-Guided Thoracic Paravertebral Nerve Block in Patients Undergoing Esophageal Cancer Surgery

作　　者：冯金芳 刘洁琼 刘璇 FENG Jinfang;LIU Jieqiong;LIU Xuan(Department of Anesthesiology,Sihong Fenjin Ting Hospital,Suqian,Jiangsu 223900,China)

机构地区：[1]泗洪分金亭医院麻醉科,江苏宿迁223900

出　　处：《中国医药指南》2025年第4期107-109,共3页Guide of China Medicine

摘　　要：目的分析超声引导下胸椎旁神经阻滞在食管癌手术患者中的应用价值。方法选取2021年1月至2024年5月泗洪分金亭医院64例行食管癌手术患者,随机数字表法分为两组,各32例,对照组术中实施单纯全身麻醉,研究组术中实施超声引导下胸椎旁神经阻滞联合全身麻醉。对比两组生命体征[动脉血氧饱和度(SpO_(2))、心率(HR)及平均动脉压(MAP)]、苏醒质量(自主呼吸恢复时间、呼之睁眼时间、定向力恢复时间)、疼痛程度[疼痛程度视觉模拟评分法(VAS)得分]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]。结果在手术结束时、术后24 h,研究组SpO_(2)、HR及MAP较对照组平稳(均P<0.05);术后,研究组自主呼吸恢复时间、呼之睁眼时间、定向力恢复时间较短,VAS评分及睡眠效率、睡眠质量、入睡时间、催眠药物、睡眠时间、睡眠障碍、日间功能障碍评分均较对照组低(均P<0.05)。结论超声引导下胸椎旁神经阻滞在食管癌手术患者中具有显著优势,能够保持患者术中生命体征平稳,提高苏醒质量,降低术后疼痛程度,并有助于患者术后睡眠质量恢复。Objective To analyze the application value of ultrasound-guided thoracic paravertebral nerve block in patients undergoing esophageal cancer surgery.Methods Selected 64 patients undergoing esophageal cancer surgery in Sihong Jinting Hospital from January 2021 to May 2024,and the random number table method was divided into two groups,32 cases each,The control group received simple general anesthesia during surgery,while the study group received ultrasound-guided thoracic paravertebral nerve block combined with general anesthesia during surgery.Compare the vital signs of two groups[saturation of peripheral oxygen(SpO_(2)),heart rate(HR),and mean arterial pressure(MAP)],recovery quality[spontaneous breathing recovery time,eye opening time,and orientation recovery time],pain level[visual analogue scale(VAS)],and sleep quality[Pittsburgh sleep quality index(PSQI)].Results At the end of surgery,24 h after surgery,SpO_(2),HR and MAP were smoother in the study group than in the control group(all P<0.05);postoperatively,the study group had a shorter recovery time for spontaneous respiration,time to open eyes on exhaling,and recovery time for orientation,and lower VAS scores and PSQI scores for each of the categories of sleep efficiency,sleep quality,time to sleep,hypnotic medication,time to sleep,sleep disorders,and daytime dysfunctions than the control group(all P<0.05).Conclusions Ultrasound guided thoracic paravertebral nerve block has significant advantages in patients undergoing esophageal cancer surgery.It can maintain stable vital signs during surgery,improve recovery quality,reduce postoperative pain,and help patients recover their sleep quality after surgery.

关 键 词：超声引导 胸椎旁神经阻滞 食管癌 生命体征 苏醒质量 疼痛程度 

分 类 号：R735.1[医药卫生—肿瘤]