[1]吉曉晨,崔文斌,張博雅,等.超聲引導胸椎旁神經阻滯對乳腺癌根治術后疼痛的影響[J].醫學信息,2019,(22):94-95.[doi:10.3969/j.issn.1006-1959.2019.22.028]
 JI Xiao-chen,CUI Wen-bin,ZHANG Bo-ya,et al.Effect of Ultrasound-guided Thoracic Paravertebral Nerve Block on Pain after Radical Mastectomy for Breast Cancer[J].Medical Information,2019,(22):94-95.[doi:10.3969/j.issn.1006-1959.2019.22.028]
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超聲引導胸椎旁神經阻滯對乳腺癌根治術后疼痛的影響()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2019年22期
頁碼:
94-95
欄目:
臨床研究
出版日期:
2019-11-15

文章信息/Info

Title:
Effect of Ultrasound-guided Thoracic Paravertebral Nerve Block on Pain after Radical Mastectomy for Breast Cancer
文章編號:
1006-1959(2019)22-0094-02
作者:
吉曉晨崔文斌張博雅單士強
(河北省滄州市中心醫院外科樓麻醉一科,河北 滄州 061001)
Author(s):
JI Xiao-chenCUI Wen-binZHANG Bo-yaSHAN Shi-qiang
(Department of Anesthesiology,Subject One,Department of Surgical Building,Cangzhou Central Hospital,Cangzhou 061001,Hebei,China)
關鍵詞:
超聲引導胸椎旁神經阻滯乳腺癌根治術慢性疼痛
Keywords:
Ultrasound guidanceThoracic paravertebral nerve blockRadical mastectomyChronic pain
分類號:
R614;R737.9
DOI:
10.3969/j.issn.1006-1959.2019.22.028
文獻標志碼:
A
摘要:
目的 分析超聲引導下胸椎旁神經阻滯對乳腺癌根治術后慢性疼痛的影響。方法 選擇2018年1月~2019年1月在我院行乳腺癌根治術的患者70例,采用隨機數字表法分為對照組和觀察組,各35例。對照組直接誘導麻醉,觀察組在麻醉誘導前行超聲引導下胸椎旁神經阻滯。比較兩組患者蘇醒時間、術后鎮痛藥使用量、術后蘇醒即刻、6、12、24 h疼痛(VAS)評分以及不良反應(惡心、嘔吐、呼吸抑制、瘙癢)發生情況。結果 觀察組蘇醒時間、術后鎮痛藥使用量均低于對照組,差異有統計學意義(P<0.05);觀察組術后蘇醒即刻、6、12、24 h的VAS評分均低于對照組,差異有統計學意義(P<0.05);觀察組不良反應發生率為11.42%,低于對照組的14.28%,但差異無統計學意義(P>0.05)。結論 超聲引導下胸椎旁神經阻滯可降低乳腺癌根治術后患者疼痛程度,減少鎮痛藥用量,且不會增加不良反應,應用效果良好。
Abstract:
Objective To analyze the effect of ultrasound-guided thoracic paravertebral nerve block on chronic pain after radical mastectomy. Methods 70 patients with radical mastectomy in our hospital from January 2018 to January 2019 were enrolled. The patients were divided into the control group and the observation group by random number table, 35 cases each. The control group directly induced anesthesia, and the observation group underwent ultrasound-guided thoracic paravertebral nerve block before induction of anesthesia. The recovery time, postoperative analgesic use, immediate postoperative recovery, 6, 12, 24 h pain (VAS) score, and adverse reactions (nausea, vomiting, respiratory depression, itching) were compared between the two groups. Results The recovery time of the observation group and the postoperative analgesic use were lower than the control group, the difference was statistically significant (P<0.05). The VAS scores of the observation group immediately after recovery, 6, 12, 24 h were lower than the control group,the difference was statistically significant (P<0.05). The incidence of adverse reactions was 11.42% in the observation group, which was lower than 14.28% in the control group, but the difference was not statistically significant (P>0.05). Conclusion Ultrasound-guided thoracic paravertebral nerve block can reduce the pain level of patients after radical mastectomy, reduce the amount of analgesic medication, and will not increase the adverse reactions, and the application effect is good.

參考文獻/References:

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更新日期/Last Update: 2019-11-15
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