Effect of ultrasound-guided intercostal nerve block on stress response and postoperative pain in patients with transaxillay gasless endoscopic thyroidectomy
10.3969/j.issn.1673-9701.2025.26.003
- VernacularTitle:超声引导肋间神经阻滞对无充气腋窝入路腔镜甲状腺术患者应激反应及术后疼痛的影响
- Author:
Meiling WEN
1
;
Yuying HUANG
;
Jianwen WANG
;
Yun PENG
Author Information
1. 赣州市人民医院麻醉科,江西赣州 341000
- Publication Type:Journal Article
- Keywords:
Ultrasound-guided intercostal nerve block;
Transaxillay gasless endoscopic thyroidectomy;
Stress response;
Postoperative pain
- From:
China Modern Doctor
2025;63(26):9-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of ultrasound-guided intercostal nerve block(ICNB)on stress response and postoperative pain in patients with transaxillay gasless endoscopic thyroidectomy(TGET).Methods A total of 60 patients who underwent TGET at Ganzhou People's Hospital from January 2023 to December 2024 were enrolled as subjects,they were divided into ICNB group(n=30)and control group(n=30),by using a random number table method.Intraoperative anesthetic dosage,pain scores within 24 hours postoperatively,levels of prostaglandin E2,norepinephrine,and cortisol,as well as the incidence rates of postoperative adverse reactions including nausea and drowsiness were compared between two groups.Results The dosage of propofol and remifentanil in ICNB group during the operation was lower than that in control group.Prince-Henry score 24h after the operation in ICNB group was lower than that in control group.Levels of prostaglandin E2,norepinephrine and cortisol in ICNB group were all lower than those in control group,and the difference was statistically significant(P＜0.05).The incidences of postoperative nausea and drowsiness in ICNB group were lower than those in control group.Conclusion Ultrasound-guided ICNB for TGET can reduce the use of anesthetic drugs during the operation,alleviate patient's stress response and postoperative pain,and lower the incidence of postoperative adverse reactions.
