Effect of ultrasound-guided single erector spine plane block for analgesia after video-assisted thoracoscopic surgery
10.3760/cma.j.issn.1673-4904.2019.06.001
- VernacularTitle:超声引导下单次竖脊肌平面阻滞对胸腔镜肺叶切除患者术后镇痛的影响
- Author:
Jian YANG
1
;
Ling MA
;
Yan QIU
Author Information
1. 中国医科大学附属盛京医院麻醉科
- Keywords:
Video-assisted thoracoscopic surgery;
Neuromuscular blockade;
Ultrasound-guided;
Postoperative analgesia
- From:
Chinese Journal of Postgraduates of Medicine
2019;42(6):481-484
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of ultrasound-guided single erector spine plane block (ESPB) for analgesia after video-assisted thoracoscopic surgery. Methods Sixty participants who received video-assisted thoracoscopic surgery under general anaesthesia from March 2018 to November 2018 in Shengjing Hospital Affiliated of China Medical University were randomly allocated. Thirty patients were blocked with 20 ml ropivacaine 0.375% (ESPB group), and 30 patients were blocked with saline (control group). Each group received patient-controlled intravenous analgesia.The visual analogue scale (VAS) scroe at postoperative1,2,4,8, 12 and 24 h were recorded, the volume of analgesia drugs, adverse reaction and satisfaction degree were compared between two groups. Results The scores of VAS at postoperative1,2,4,8 and 12 h in ESPB group were significantly lower than those in control group, and there was significant difference (P < 0.05). The volume of analgesia drugs in ESPB group was significantly less than that in control group: (58.17 ± 4.35) ml vs. (63.77 ± 4.07) ml, P<0.05. There was no significant difference in the adverse reaction rate (P > 0.05). The satisfaction degree in ESPB group was significantly higher than that in control group (P < 0.05). Conclusions Ultrasound-guided single ESPB for analgesia after video-assisted thoracoscopic surgery can effectively improve analgesia, reduce the the volume of analgesia drugs and increase the satisfaction degree.
