Effects of general anesthesia combined with thoracic paravertebral block on postoperative recovery after pulmonary lobectomy
10.3969/j.issn.1005-6483.2016.09.023
- VernacularTitle:全身麻醉复合椎旁阻滞对肺叶切除术患者术后恢复的影响
- Author:
Mingfeng LIAO
;
Xiaohui CHI
;
Ailin LUO
- Publication Type:Journal Article
- Keywords:
thoracic paravertebral block;
quality of recovery;
pulmonary lobectomy
- From:
Journal of Clinical Surgery
2016;24(9):709-711
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate Effects of general anesthesia combined with thoracic paraver-tebral block(TPVB)on postoperative recovery after thoracoscopic pulmonary lobectomy. Methods Eighty patients were randomized into the general anesthesia group( G group)and general anesthesia combined TPVB group(GT group). Under the guidance of ultrasound,patients in the GT group received 20ml of 0. 5% ropivacaine for TPVB,and sevoflurane and propofol for combined anesthesia. Patients in the G group received sevoflurane,propofol and remifentanil for combined anesthesia. Extubation time,postoperative vis-ual analogue scale(VAS),quality of recovery(QoR)score,and adverse reaction were all recorded. Results Patients in the GT group had less extubation time and earlier ambulation time compared to the G group. Postoperatively,at the 1st,24th and 48th hour,patients in the G group had significantly higher VAS values both at rest and on movement than GT group(P < 0. 05). The opioid consumptions in GT group were lower than the G group(P < 0. 05). The QoR values of GT group at 24th and 48th hour[(152 ± 21)min and (175 ± 17)min]were significantly higher than the G group[(134 ± 25)min and(162 ± 20)min]respec-tively. There were significant differences in hospitalization expenses,the hospitalization stay and the inci-dence of complications between the two groups. Conclusion The ultrasound-guided paravertebral block can improve the quality of recovery in patients undergoing thoracoscopic pulmonary lobectomy.
