The application of ultrasound-guided paravertebral anaesthesia combined with propofol in the thoracoscopic sympathectomy
10.3969/j.issn.1006-5725.2017.14.014
- VernacularTitle:超声引导胸椎旁神经阻滞复合丙泊酚在胸腔镜下胸交感神经链切断术中的应用
- Author:
Hui LI
;
Jindong XU
;
Qing WANG
;
Liang XIE
;
Dan TIAN
;
Liangxian ZHU
;
Lirong ZENG
;
Sheng WANG
- Keywords:
paravertebral anaesthesia;
ultrasound;
thoracoscopy;
sympathectomy;
rapid rehabili-tation
- From:
The Journal of Practical Medicine
2017;33(14):2307-2310
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and effectiveness of ultrasound-guided paravertebral anaes-thesia combined with propofol in the thoracoscopic sympathectomy. Methods Total 63 male and 59 female patients with hyperhidrosis were recruited. The patients were equally divided into two groups:group A and C. Patients in group A received ultrasound-guided paravertebral anaesthesia combined with propofol. Patients in group C received general intravenous anesthesia with endotracheal intubation. The heart rate (HR),mean arterial pres-sure(MAP)and the oxygen saturation(SpO2)at the time of entering the operating room(T0),completing anesthe-sia(T1),incising the skin(T2),cutting the T4 sympathetic trunk(T3),completing the operation were record-ed. The awake time after operation ,VAS score after operation and postoperative throat discomfort were also record-ed. Results The two groups successfully completed the surgery. There were no significant differences of the HR , MAP and SpO2 at T0-T4 between the two groups. There were significant differences of the awake time after opera-tion,postoperative feeding time and hospitalization expenses. The VAS score after operation of group A were better than group C(P<0.05)at T2 h,T4 h,T8 h,and T12 h. There was no significant difference of VAS score at T24 h between the two groups. Conclusion Ultrasound-guided paravertebral anaesthesia combined with propofol can pro-vide a safe and effective approach for patients receiving the thoracoscopic sympathectomy.
