Effects of ultrasound-guided thoracic paravertebral nerve block on postoperative analgesia and risk events in patients with scapular fracture caused by military training
10.3969/j.issn.1009-0754.2025.01.003
- VernacularTitle:超声引导下胸椎旁神经阻滞对军事训练致肩胛骨骨折患者术后镇痛效果及风险事件的影响
- Author:
Jie NIE
1
;
Fei WANG
;
Yu CAO
;
Yanping JIAN
Author Information
1. 521000 广东 潮州,海军陆战队医院麻醉科
- Keywords:
Ultrasonic guidance;
Thoracic paravertebral nerve block;
Military training;
Scapular fracture;
Postoperative analgesia
- From:
Journal of Navy Medicine
2025;46(1):11-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of ultrasound-guided thoracic paravertebral nerve block on postoperative analgesia and risk events in patients with scapular fracture caused by military training.Methods Seventy patients with scapular fracture who were admitted to the Marine Corps Hospital from January 2022 to December 2022 were randomly divided into control group and observation group.All fractures were caused by military training and treated with internal fixation under general anesthesia.The patients in the observation group additionally received ultrasound-guided thoracic paravertebral nerve block.The hemodynamics before and after skin incision,postoperative pain,and adverse events were compared between the two groups.Results The hemodynamic indexes did not significantly change at 5 min after skin incision(P>0.05).Heart rate(HR)and mean arterial pressure(MAP)in the observation group were lower than those in the control group at 5 min after skin incision(P<0.05).The visual analogue scale(VAS)scores at rest and in active state in the observation group were lower than those in the control group at 6 h and 12 h after surgery(P<0.05).The incidence of postoperative adverse events in the observation group was 5.71%,which was lower than that in the control group(25.71%,P<0.05).Conclusion Ultrasound-guided thoracic paravertebral nerve block can reduce the hemodynamic response caused by skin incision,postoperative pain,and the incidence of postoperative adverse events such as nausea and vomiting in patients with scapular fracture caused by military training.
