摘要
目的探讨胸椎旁神经阻滞(TRVB)联合腹直肌鞘神经阻滞(RSB)用于胸腹联合食管癌根治术中的临床效果。方法按随机数字表法,将97例食管癌患者分为对照组(49例)与观察组(48例)。对照组采用全麻,观察组采用全麻与TRVB联合RSB麻醉。比较两组血流动力学、疼痛程度、舒适度及不良反应。结果观察组T1、T2时平均动脉压(MAP)及心率(HR)水平低于对照组,术后12 h、24 h时视觉模拟评分法(VAS)评分低于对照组,舒适度量表(BCS)评分高于对照组,有统计学差异(P<0.05);两组不良反应总发生率比较,无统计学差异(P>0.05)。结论TRVB联合RSB用于胸腹联合食管癌根治术中患者血流动力学更为稳定,可减轻患者术后疼痛,提高患者舒适度,且不良反应并未增加。
Objective To investigate the clinical effect of thoracic paravertebral nerve block(TRVB)combined with rectus sheath nerve block(RSB)for thoracoabdominal combined radical resection of esophageal cancer.Methods 97 patients with esophageal cancer were divided into the control group(49 cases)and the observation group(48 cases)according to random number table method.The control group received general anesthesia,the observation group received general anesthesia and TRVB combined with RSB anesthesia.Hemodynamics,pain,comfort and adverse reactions were compared between the 2 groups.Results The mean arterial pressure(MAP)and heart rate(HR)levels in the observation group were lower than those in the control group at T1 and T2,the VAS score at 12h and 24h after surgery was lower than that in the control group,and the comfort scale(BCS)score was higher than that in the control group,with statistical differences(P<0.05).There was no significant difference in the total incidence of adverse reactions between the 2 groups(P>0.05).Conclusion TRVB combined with RSB is more stable in hemodynamics of patients undergoing radical resection of thoracoabdominal combined esophageal cancer,which can reduce postoperative pain and improve patient comfort without increasing adverse reactions.
作者
张朔
郭培霞
张新科
王铭
ZHANG Shuo;GUO Peixia;ZHANG Xinke(Nanyang Central Hospital,Nanyang 473000)
出处
《实用癌症杂志》
2025年第9期1456-1458,1476,共4页
The Practical Journal of Cancer
关键词
胸腹联合食管癌根治术
胸椎旁神经阻滞
腹直肌鞘神经阻滞
全麻
血流动力学
Chest and abdomen combined with esophageal cancer radical resection
Thoracic paravertebral nerve block
Rectus muscle sheath nerve block
General anesthesia
Hemodynamics
