Effect of intercostal nerve block combined with general anesthesia on hemodynamics in patients undergoing video-assisted thoracoscopic surgery
10.3969/j.issn.1007-1989.2018.01.014
- VernacularTitle:肋间神经阻滞复合全身麻醉对胸腔镜手术患者血流动力学的影响
- Author:
Hai-Qing FU
1
;
Sheng-Hua CEN
;
Lei LIANG
Author Information
1. 浙江省舟山医院 麻醉科
- Keywords:
intercostal nerve block;
thoracoscopy;
hemodynamics;
immune function
- From:
China Journal of Endoscopy
2018;24(1):70-74
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of intercostal nerve block combined with general anesthesia on hemodynamics in patients undergoing video-assisted thoracoscopic surgery. Method From January 2014 to January 2016, 100 patients were selected and divided into control group and experimental group according to the principle of complete random grouping. The patients in control group received general anesthesia with intravenous induction and static-occlusion, and the patients in experimental group received intercostal nerve block compound general anesthesia. The changes of visual analogue pain scores (VAS) and hemodynamics were evaluated in both groups. Changes in immune function before and after treatment were compared. Hemodynamic parameters include heart rate (HR), systolic blood pressure (SBP) and pulse oxygen saturation (SpO2). Immune function parameters include serum T cell subsets content. Results The VAS scores of the experimental group were significantly lower than those of the control group at different time points (P < 0.05). The systolic blood pressure and heart rate were significantly higher in the control group than those in the experimental group after the operation (P < 0.05). The CD4+, CD4+/CD8+levels in the test group were significantly higher than those in the control group (P < 0.05). Conclusion Intercostal nerve block composite anesthesia can better control the thoracoscopic patient's cardiovascular response and reduce the immune function inhibition. It is worthy of clinical promotion.
