Clinical Application of Ultrasound-guided Paravertebral Nerve Block in Analgesia after Thoracotomy

Qiao Fei; Wang Jun; Zhan Xi; Yang Wen Yan

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Article Navigation > Journal of Kunming Medical University > 2017 > 38(06): 87-91

Qiao Fei , Wang Jun, Zhan Xi , Yang Wen Yan . Clinical Application of Ultrasound-guided Paravertebral Nerve Block in Analgesia after Thoracotomy[J]. Journal of Kunming Medical University, 2017, 38(06): 87-91.

Citation:

Qiao Fei , Wang Jun, Zhan Xi , Yang Wen Yan . Clinical Application of Ultrasound-guided Paravertebral Nerve Block in Analgesia after Thoracotomy[J]. Journal of Kunming Medical University, 2017, 38(06): 87-91.

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Clinical Application of Ultrasound-guided Paravertebral Nerve Block in Analgesia after Thoracotomy

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基金：贝朗麻醉科学研究基金资助项目 (BBDF-2015-010);

Received Date: 2017-02-17

Abstract

Abstract

Objective To observe the analgesic effect of ultrasound-guided paravertebral nerve block on analgesia after thoracotomy. Me thods 70 patients who were in ASA Ⅰ ~ Ⅱ and planned to undergo elective thoracotomy surgery with tracheal intubation anesthesia were randomly divided into two groups (Group T and Group G) of 35 cases each. Patients in group T received paravertebral injection of 0.5% of pivocaine under ultrasound guide before induction. Postoperative intravenous self-control analgesia pump was used in all patients. The patients' heart rate (HR) and mean arterial pressure (MAP) and Oxygen saturation air condition (Sp O2) were recorded in different moments. The visual analog scale (VAS) scores were recorded at 6, 12, 24 and 48 h after operation.Frequency for compress PCA, related complications, the first eating time and the leaving bed time after operation were recorded as well. Re s ults At 6, 12 and 24 h after operation, the change in HR, MAP and VAS scale of Group T varied within a smaller range than Group G (P<0.05) . The PCA numbers, postoperative nausea and vomiting were significantly less in group P than those in group G (P<0.05) .The time of the first eating and the leaving bed after operation was shorten in Group T than in Group G (P <0.05) . Conclus ion Thoracic paravertebral block by ultrasound guide is accurate and effective for elective thoracotomy patient, can effectively reduce postoperative pain, less adverse reaction, is beneficial to patients with early rehabilitation, is the ideal for postoperative analgesia after thoracotomy.
- Ultrasound guid,
- Paravertebral never block,
- Post-thoracotomy analgesia

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References(15)

References

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