四川医学2024，Vol.45Issue(6)：596-600,5.DOI:10.16252/j.cnki.issn1004-0501-2024.06.005
比较前锯肌平面阻滞与胸椎旁神经阻滞在胸腔镜手术中的镇痛、镇静效果
To Compare Analgesic and Sedation Effects of Serratus Anterior Plane Block and Thoracic Paravertebral Nerve Block During Thoracoscopic Surgery
摘要
Abstract
Objective To compare analgesic and sedation effects between serratus anterior plane block and thoracic paravertebral nerve block in thoracoscopic surgery.Methods 110 patients in our hospital under went thoracoscopic surgery from July 2022 to July 2023 were selected.They were randomly divided into 2 groups using a random number table method.The control group consisted of 55 patients who received thoracic paravertebral nerve block,while the observation group consisted of 55 patients who received serratus anterior plane block.Anesthesia effect,visual analogue score(VAS),inflammatory factor levels,quality of life,and restlessness rate were compared.Results Greater duration of block of observation group was longer than control group(13.63±3.16 vs.11.74±2.54)h,shorter block maneuver time than control group(5.36±2.31 vs.10.19±2.55)min,postoperative 48 hours analgesia pump press frequency was less than control group(3.86±1.87 vs 5.91±1.54),postoperative sufentanyl use was less than control group(102.36±16.65 vs.128.77±20.33)μg(P<0.05).For observation group,VAS score at6 h(3.68±1.11 vs.4.59±1.29),VAS at12 h(2.33±1.12 vs.3.57±1.43),VAS at 24 h(1.84±0.52 vs.2.71±0.44),VAS at 48 h(0.76±0.31 vs.1.49±0.55),IL-10 at 2 h(74.28±5.36 vs.98.57±6.44)ng/L,IL-10 at 48 h(45.13±4.29 vs.53.36±5.08)ng/L,IL-6 at 2 h(65.33±4.78 vs.76.49±5.78)ng/L,IL-6 at 48 h(47.79±3.36 vs.54.36±4.78)ng/L were lower than those of control group(P<0.05).The SF-36 score at 24 h after operation(69.95±5.13 vs.65.33±4.27)and SF-36 score at 48 h(83.36±4.36 vs.74.29±3.69)were all higher than control group(P<0.05).Meanwhile,the agitation rates of 6 h,24 h and 48 h in the observation group were(5.45%,3.64%,1.82%vs.18.18%,14.54%and 12.73%,respectively),which were lower than those of control group(P<0.05).Conclusion Compared to thoracic paraver-tebral nerve block,serratus anterior plane block would have a more significant effect in patients undergoing thoracoscopic surgery,with good analgesic and sedative effects.关键词
前锯肌平面阻滞/胸椎旁神经阻滞/胸腔镜手术/疼痛/炎症因子/生命质量Key words
serratus anterior plane block/thoracic paravertebral nerve block/thoracoscopic surgery/pain/inflammatory factors/quality of life分类
医药卫生引用本文复制引用
杨晓慧,舒运兵,余得水,唐昱英..比较前锯肌平面阻滞与胸椎旁神经阻滞在胸腔镜手术中的镇痛、镇静效果[J].四川医学,2024,45(6):596-600,5.基金项目
成都市科技局项目(编号:2022-YF05-01261-SN) （编号:2022-YF05-01261-SN）
