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《Oncology Progress》 2018-08
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Effect of ultrasound guided ESP block combined with PCIA on the analgesia of post-thoracoscopy lung cancer resection

ZHANG Chao;WANG Jinquan;CHEN Yang;Department of Anesthesiology,the First Affiliated Hospital of the Army Medical University;  
Objective To observe the effect of ultrasound guided single erector spinae plane(ESP) block combined with patient-controlled intravenous analgesia(PCIA) effect on analgesia after thoracoscopy lung cancer resection.Method One hundred and twenty patients of lung cancer underwent thoracoscopy lung cancer resection were enrolled and randomly divided into observation group(n=60) and control group(n=60). The patients in observation group underwent ESP anesthesia and total intravenous anesthesia combined with PCIA postoperative analgesia, while the patients in control group underwent total intravenous anesthesia combined with PCIA postoperative analgesia. In the two groups, the same anesthesia depth was maintained to compare the hemodynamic and postoperative analgesic effects in the two groups. Result The mean arterial pressure(MAP), heart rate(HR) and visual analogue score(VAS) of the two groups were analyzed by repeated analysis of variance, and the difference was statistically significant(P0.01). The MAP, HR and VAS of the observation group and the control group changed significantly with time(P0.01). The influence of anesthetic method and time on MAP, HR and VAS was interactive(P0.01). The dosage of remifentanil and the number of PCIA in the observation group were significantly lower than those in the control group(P0.01). The incidence of adverse reactions in the observation group was 10.0%, which was lower than that in the control group(23.3%)(P0.05).Conclusion Ultrasound guided single ESP block combined with PCIA can help reduce adverse reactions and relieve postoperative pain in patients.
【CateGory Index】: R614;R730.5
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