Influence of CTPVB under ultrasound-guidance combined with general anesthesia on inflammatory reaction and homodynamic of patients with thoracotomy
10.3969/J.ISSN.1672-8270.2018.07.024
- VernacularTitle:超声引导下经连续椎旁神经阻滞复合全麻对开胸手术患者炎性反应和血流动力学的影响
- Author:
You-Jun LIANG
1
;
Li-Jun CHU
;
Xian-Ming LONG
Author Information
1. 钦州市第一人民医院麻醉科 广西 钦州 535000
- Keywords:
Continuous thoracic paravertebral block (CTPVB);
Inflammation factors;
Thoracotomy;
Homodynamic;
Ultrasound-guidance
- From:
China Medical Equipment
2018;15(7):99-103
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore influence of continuous thoracic paravertebral block(CTPVB)under ultrasound-guidance combined with general anesthesia on inflammatory reaction and homodynamic of patients who underwent thoracotomy.Methods: 138 patients who underwent thoracotomy were prospectively selected and were divided into observation group(69 cases)and control group(69 cases)as random number table.Patients of observation group received CTPVB under ultrasound-guidance combined with general anesthesia and that of control group received general anesthesia.The changes of IL-6,IL-10 and TNF-α postoperative 48h and postoperative VAS score between the two groups were compared.And the VAS scores postoperative 2h,12h,24h and 48h also were observed.Besides,the mean arterial pressure and heart rate between the two groups at various time point included tranquillization time(T0),the 15 min(T1)after CTPVB combined with general anesthesia,the time post induced intubation(T2),5 min post skin incision(T3)and the time pre extubation(T4)were compared and analyzed so as to research its influence on hemodynamic.Results: The IL-6 and TNF-α postoperative 48h of observation group were significantly lower than that of control group(t=15.95,t=46.99,P＜0.05).And postoperative IL-10 of observation group was significantly higher than that of control group(t=134.3,P＜0.05).And the VAS scores of observation group at postoperative 2h,12h,24h and 48h were significantly lower than that of control group(t=13.91,t=17.1,t=2.321,t=9.231,P＜0.05),respectively.Conclusion: CTPVB under ultrasound-guidance combined with general anesthesia can improve postoperatively analgesic effect for patients,and it don't affect patients' blood pressure and heart rate,and it can reduce inflammatory reaction of patients who underwent thoracotomy and promote rehabilitation of patients.
