Effect of erector spinae plane block on ultrasound-based hemodynamic parameters of arteries of four limbs and biochemical stress indicators in patients with thoracoscopic lobectomy
- VernacularTitle:竖脊肌平面阻滞对胸腔镜下肺叶切除术患者超声四肢动脉血流动力学及生化应激指标的影响
- Author:
Guohui WEI
1
;
Yan SUN
;
Zhijie LIU
;
Hangyu LYU
;
Yongxue CHEN
;
Xinbo WANG
Author Information
- Keywords: thoracoscopic lobectomy; erector spinae plane block; hemodynamics; biochemi-cal stress indicators; anesthetic effect
- From: Journal of Clinical Medicine in Practice 2024;28(14):49-53
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the effect of erector spinae plane block on ultrasound-based hemodynamic parameters of the arteries of the four limbs and biochemical stress indicators in patients with thoracoscopic lobectomy.Methods A total of 120 patients with thoracoscopic lobectomy were randomly divided into study group and control group,with 60 cases in each group.The study group re-ceived erector spinae plane block during surgery,while the control group received conventional anes-thesia measures.Pulmonary function indicators[peak expiratory flow rate(PEFR),forced vital ca-pacity(FVC),forced expiratory volume in the first second(FEV1)],ultrasound-based hemodynamic parameters of the arteries of the four limbs(maximum systolic velocity,minimum diastolic velocity,mean velocity,arterial pulsatility index,and arterial resistance index),stress indicators[cortisol(Cor),norepinephrine(NE),angiotensin Ⅱ(Ang Ⅱ),and adrenocorticotropic hormone(ACTH)],and analgesic effect were compared between the two groups at different time points[before an-esthesia induction(T0),after extubation(T1),and after drainage tube removal(T2)].Results FEV1,FVC and PEFR in both groups were significantly lower at T,and T,than at T0,and FEV1,FVC and PEFR in the study group were significantly higher than those in the control group at T,and T2(P＜0.05).The maximum systolic velocity and arterial resistance index in both groups were significantly lower at T1 and T2 than at T0,while the minimum diastolic velocity,mean velocity and arterial pulsatility in-dex were significantly higher at T1 and T2 than at T0(P＜0.05).The maximum systolic velocity and arterial resistance index in the study group were significantly higher than those in the control group at T1 and T2,but the minimum diastolic velocity,mean velocity and arterial pulsatility index were sig-nificantly lower than those in the control group(P＜0.05).Cor,ACTH,Ang Ⅱ and NE in both groups were significantly higher at T2 than at T0,and Cor,ACTH,Ang Ⅱ and NE in the study group were significantly lower than those in the control group at T2(P＜0.05).The Prince-Henry pain score,effective compression times,and actual compression times in the study group were sig-nificantly lower than those in the control group(P＜0.05).Conclusion Application of erector spinae plane block in thoracoscopic lobectomy causes smaller fluctuations in hemodynamic parame-ters of the arteries of four limbs and biochemical stress indicators,with a better anesthetic effect.
