摘要
目的分析乳腺癌手术患者采用超声引导下胸神经阻滞和胸椎旁神经阻滞的效果。方法选取2019年1月-2020年1月该院收治的70例乳腺癌手术患者作为研究对象,随机分为两组。对照组的患者(n=35)采取超声引导胸椎旁神经阻滞,观察组(n=35)采取超声引导下胸神经阻滞。比较两组持续镇痛的时间、术后24 h舒芬太尼的使用量、麻醉前后患者视觉模拟评分、每分钟通气量、最大摄氧量、不良麻醉作用。结果观察组持续镇痛时间(323.21±41.21)min长于对照组,术后24 h舒芬太尼的使用量(6.19±1.51)μg少于对照组,差异有统计学意义(t=15.980、9.057,P<0.05)。术后12 h观察组视觉模拟评分显著低于对照组,每分钟通气量、最大摄氧量显著高于对照组,差异有统计学意义(P<0.05)。观察组不良麻醉作用总发生率为2.86%少于对照组的22.86%,差异有统计学意义(χ^(2)=4.590,P<0.05)。结论乳腺癌手术患者采用超声引导下胸神经阻滞和胸椎旁神经阻滞的效果存在差异,超声引导下胸神经阻滞的效果优于超声引导胸椎旁神经阻滞,可更好镇痛和减少对患者肺功能的影响,减少用药量,麻醉作用时间更长,不良麻醉作用更少,安全性高。
Objective To analyze the effect of ultrasound-guided thoracic nerve block and paravertebral nerve block in patients with breast cancer surgery.Methods From January 2019 to January 2020,70 breast cancer patients in the hospital were selected and randomly divided into two groups.The patients in the control group(n=35)were treated with ultrasound-guided paravertebral nerve block,and the patients in the observation group(n=35)were treated with ultrasound-guided thoracic nerve block.The duration of continuous analgesia,the dosage of sufentanil 24 h after operation,visual analog score,ventilation per minute,maximum oxygen uptake and adverse anesthetic effects were compared between the two groups.Results The duration of analgesia in the observation group(323.21±41.21)min was longer than that in the control group,and the dosage of sufentanil 24 h after operation(6.19±1.51)μg was less than that in the control group,the difference was statistically significant(t=15.980,9.057,P<0.05).12 h after operation,the visual analog score of the observation group was significantly lower than that of the control group,and the ventilation per minute and maximum oxygen uptake of the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse anesthetic effects in the observation group was,which was 2.86% less than 22.86% in the control group,and the difference was statistically significant(χ^(2)=4.590,P<0.05).Conclusion There are differences in the effects of ultrasound-guided thoracic nerve block and paravertebral nerve block in breast cancer patients.The effect of ultrasound-guided thoracic nerve block is better than that of ultrasound-guided paravertebral nerve block.It can better analgesia and reduce the impact on the patient's lung function,reduce the dosage,the anesthesia time is longer,the adverse anesthesia effect is less,and the safety is high.
作者
崔英坤
CUI Yingkun(Department of Anesthesiology,Qingzhou Rongjun Hospital,Weifang,Shandong Province,262500 China)
出处
《系统医学》
2021年第19期16-18,22,共4页
Systems Medicine
关键词
乳腺癌
手术
超声引导
胸神经阻滞
胸椎旁神经阻滞
效果
Breast cancer
Surgery
Ultrasound guidance
Thoracic nerve block
Thoracic paravertebral nerve block
Effect
