Erector spinae combined with transversus abdominis plane and cervical plexus block promoting rapid rehabilitation of patients with esophageal cancer undergoing endoscopic surgery

MIAO Min; LIU Wei; RAO Lihua; ZHANG Zhen; CHEN Bin; DAI Tijun

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Erector spinae combined with transversus abdominis plane and cervical plexus block promoting rapid rehabilitation of patients with esophageal cancer undergoing endoscopic surgery

更新时间：2022-06-24

- Erector spinae combined with transversus abdominis plane and cervical plexus block promoting rapid rehabilitation of patients with esophageal cancer undergoing endoscopic surgery
- null Issue 6, Pages: 487(2021)
- 作者机构：
  
  1. 南京鼓楼医院集团宿迁市人民医院麻醉科,江苏,宿迁,223800
  2. 徐州医科大学附属宿迁医院麻醉科,江苏,宿迁,223800
  3. 徐州医科大学麻醉药理学教研室,江苏,徐州,221004
- 作者简介：
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MIAO Min, LIU Wei, RAO Lihua, et al. Erector spinae combined with transversus abdominis plane and cervical plexus block promoting rapid rehabilitation of patients with esophageal cancer undergoing endoscopic surgery. [J]. null (6):487(2021)
DOI：

MIAO Min, LIU Wei, RAO Lihua, et al. Erector spinae combined with transversus abdominis plane and cervical plexus block promoting rapid rehabilitation of patients with esophageal cancer undergoing endoscopic surgery. [J]. null (6):487(2021) DOI：

摘要

目的探讨竖脊肌联合腹横肌平面及颈丛神经阻滞对胸—腹腔镜下食管癌三切口手术患者的镇痛效果。方法选取80例行胸—腹腔镜〖JP〗下食管癌三切口手术的老年患者为研究对象，将其随机分为对照组与观察组，每组40例。对照组患者按照常规方法进行麻醉，观察组患者在常规麻醉的基础上加用竖脊肌联合腹横肌平面及颈丛神经阻滞。采用视觉模拟量表（VAS）评分评价2组患者T1（术后1 h）、T2（术后6 h）、T3（术后12 h）、T4（术后24 h）以及T5（术后48 h）静息时和咳嗽时的疼痛情况。比较2组患者丙泊酚及瑞芬太尼用量、麻醉苏醒期相关情况以及术后相关情况。结果 2组患者各时间点静息时和咳嗽时的VAS评分比较，差异均有统计学意义（P＜0.05）；2组患者术中丙泊酚及瑞芬太尼用量比较，差异均有统计学意义（P＜0.05）；2组患者在苏醒延迟、拔管时间、苏醒期躁动以及转入ICU方面比较，差异均有统计学意义（P＜0.05）；2组患者术后皮肤瘙痒发生率、肺不张发生率、按压镇痛泵次数、睡眠质量评分以及住院时间比较，差异均有统计学意义（P＜0.05）。结论竖脊肌联合腹横肌平面及颈丛神经阻滞可以显著降低胸—腹腔镜下食管癌三切口手术患者在静息时和咳嗽时的疼痛程度和麻醉药物使用量，减少患者麻醉苏醒期及术后不良反应，还能显著降低术后非计划转入ICU率，缩短患者住院时间，有利于患者术后快速康复。

Abstract

关键词

竖脊肌阻滞腹横肌平面阻滞颈丛神经阻滞食管癌三切口手术老年患者快速康复不良反应

Keywords

erector spinal blocktransversus abdominis plane blockcervical plexus blockthree-incision surgery for esophageal cancerelderly patientsrapid rehabilitationadverse reaction

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