Abstract：Objective To explore the application effect of ultrasound-guided serratus anterior plane block (SAPB) in mediastinal tumor resection with right thoracotomy and single lung ventilation.Methods A total of 40 patients with mediastinal tumor resection under general anesthesia through right thoracotomy and one-lung ventilation who were admitted to Ganzhou Cancer Hospital from January 2020 to December 2021 were selected as the research subjects,and they were divided into SAPB group (group S) and thoracic epidural block group (group E) using random number table method,with 20 cases in each group.Group S underwent the left lateral decubitus position after double-lumen bronchial intubation under general anesthesia,followed by ultrasound-guided anterior serratus muscle deep plane block.Group E had anterior thoracic epidural puncture and catheterization before anesthesia.The heart rate (HR) and mean arterial pressure (MAP) at entry (T1),5 min after thoracotomy (T2) and 5 min after thoracotomy (T3) were compared between the two groups.The visual analogue scale (VAS) score at 4,8 and 12 h after thoracotomy were compared between the two groups.Results At T2 and T3,the levels of MAP and HR in group E were lower than those in group S,with statistical significances (P＜0.05).The VAS score at 4 and 8 h after surgery in group E were lower than those in group S,with statistical significances (P＜0.05).Conclusion Ultrasound-guided SAPB has the same analgesic effect as thoracic epidural block after mediastinal tumor resection through right thoracotomy,but ultrasound-guided SAPB can better stabilize patients′ vital signs during surgery,which is worthy of clinical application.
袁磊； 曾建强； 黄金华. 超声引导下前锯肌平面阻滞在经右侧开胸纵隔肿瘤切除手术中的应用效果[J]. 中国当代医药, 2022, 29(22): 106-109.
YUAN Lei ZENG Jianqiang HUANG Jinhua. Application effect of ultrasound-guided serratus anterior plane block in the resection of mediastinal tumors through right thoracotomy. 中国当代医药, 2022, 29(22): 106-109.
Li Y，Dong H，Tan S，et al.Effects of thoracic epidural anesthesia/analgesia on the stress response，pain relief，hospital stay，and treatment costs of patients with esophageal carcinoma undergoing thoracic surgery：A single-center，randomized controlled trial[J].Medicine（Baltimore），2019，98（7）：14362.
[2]
Romero A，Garcia JE，Joshi GP.The state of the art in preventing post thoracotomy pain[J].Semin Thorac Cardiovasc Surg，2013，25（2）：116-124.
[3]
Zhang R，Schwabe K，Kruger M，et al.Electro-physiologicalevidence of intercostal nerve injury afterthoracotomy：an experimental study in a sheep model[J].J Thorac Dis，2017，9（8）：2461-2465.
Umari M，Carpanese V，Moro V，et al.Postoperative analgesia after pulmonary resection with a focus on video-assisted thoracoscopic surgery[J].Eur J Cardiothorac Surg，2018，53（5）：932-938.
京公网安备 11010502046607号