| 冯建梅,王 瑗,卫白杨,张东东,高媛媛.竖脊肌平面阻滞联合羟考酮对胸腔镜肺癌根治术老年患者的应用效果
及术后谵妄发生率[J].,2024,(22):4230-4232 |
| 竖脊肌平面阻滞联合羟考酮对胸腔镜肺癌根治术老年患者的应用效果
及术后谵妄发生率 |
| The Application Effect of Erector Spinae Plane Block Combined with Hydroxycodone in Elderly Patients undergoing Thoracoscopic Radical Resection of Lung Cancer and the Incidence of Postoperative Delirium |
| 投稿时间：2024-04-12 修订日期：2024-05-10 |
| DOI：10.13241/j.cnki.pmb.2024.22.007 |
| 中文关键词: 竖脊肌平面阻滞 羟考酮 胸腔镜肺癌根治术 |
| 英文关键词: Sma vertical plane block Oxycodone Thoracoscope lung cancer radical |
| 基金项目:陕西省自然科学基础研究计划项目（2020JQ-950） |
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| 中文摘要: |
| 摘要 目的：探讨竖脊肌平面阻滞联合术后羟考酮自控镇痛对胸腔镜肺癌根治术老年患者的应用效果及术后谵妄发生率。方法：选取我院2021.1~2023.12收治的80例实施胸腔镜肺癌根治术的患者，分为观察组(常规全麻，术后氟比洛芬酯注射液+舒芬太尼静脉自控镇痛)与对照组(常规全麻+竖脊肌平面阻滞，术后氟比洛芬酯注射液+羟考酮静脉自控镇痛)，各40例。对比两组相关指标。结果：观察组在T2和T3时间的SPO2均高于对照组，DBP、SBP均低于对照组，在T3时间的HR低于对照组(P＜0.05)；观察组患者术后活动时与静息时VAS评分均低于对照组(P＜0.05)；观察组手术时间长于对照组，麻醉药用量及苏醒时间均低于对照组(P＜0.05)；观察组DAM评分及谵妄发生率低于对照组(P＜0.05)。结论：胸腔镜肺癌根治术老年患者术中在全身麻醉基础上增加竖脊肌平面阻滞联合术后羟考酮自控镇痛可稳定患者术中生命体征，减轻术后疼痛程度，减少麻醉药用量，缩短苏醒时间，降低患者术后谵妄发生率 |
| 英文摘要: |
| ABSTRACT Objective: Explore the sma vertical plane block joint oxycodone self-control analgesia on postoperative thoracoscope of elderly patients with lung cancer radical application effect and the incidence of postoperative delirium. Methods: Selected from the records of 80 cases of 2021.1~2023.12 implementation of thoracoscope lung cancer patients with radical prostatectomy, divided into observation group (general anesthesia, postoperative flurbiprofen ester +sufentanil injection) and the control group (conventional sma+vertical plane block general anesthesia, postoperative flurbiprofen acetate injection+oxycodone), 40 cases in each. Compare the two groups of relevant indicators. Results: SIn time of T2 and T3 SPO2 observation group were higher than that of control group, DBP and SBP were lower than the control group, HR at T3 time than controls (P<0.05); The VAS scores in the observation group were lower than those in the control group (P<0.05). Group operating time is longer than the control group, drug dosage and awakening time were lower than control group (P<0.05); Observation group DAM score and the incidence of delirium is lower than the control group (P<0.05). Conclusion: Thoracoscope in elderly patients with lung cancer radical surgery during general anesthesia based on sma increase vertical plane block combined with oxycodone self-control analgesia can be stable after the intraoperative vital signs, reduce postoperative pain degree, reduce drug dosage, shortening the time of awakening, decrease the incidence of postoperative delirium. |
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