单点单次胸椎旁阻滞应用于经皮肾镜碎石取石术的临床效果

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Abstract Objective To investigate the clinical effect of single point and single paravertebral block after percutaneous nephrolithotomy. Methods A total of 60 percutaneous nephrolithotomy patients admitted to the Department of Anesthesiology, Xinhua Hospital Affiliated to Dalian University from September 2019 to February 2020 were selected as the study subjects, and were divided into control group (30 cases) and observation group (30 cases) by random number table method. The control group was treated with intraspinal anesthesia, and the observation group was treated with ultrasound-guided single point single paravertebral block. Surgical indicators, visual analogue scale (VAS) score, vital signs before anesthesia (T0), 10 min after anesthesia (T1), after the establishment of lithotripsy channel (T2), 10 min after the beginning of lithotripsy (T3), and at the end of lithotripsy (T4) were compared between the two groups. Results The operation time, postoperative exhaust time and hospital stay in the observation group were shorter than those in the control group, and the amount of intraoperative blood loss was less than that in the control group, the differences were statistically significant (P＜0.05). Preoperative comparison of VAS scores between the two groups showed no statistical significance (P＞0.05). At 6, 12 and 24 h postoperatively, VAS scores in both groups were lower than those before operation, and VAS score in observation group was lower than that in control group, the differences were statistically significant (P＜0.05). At T0, there were no significant differences in mean arterial pressure (MAP) and heart rate (HR) between the two groups (P＞0.05). The MAP of T1 and T4 in observation group were higher than those in control group, while the MAP of T2 and T3 were lower than those in control group, the HR of T1 in observation group was higher than that in control group, and the HR of T2-T4 were lower than those in control group, the differences were statistically significant(P＜0.05). Conclusion Ultrasound-guided single point single thoracic paravertebral block can shorten the operation time and hospital stay, reduce the amount of bleeding, reduce pain, and have little effect on arterial pressure and heart rate.

Key words： Ultrasound guidance Single point single parathoracic block Percutaneous nephrolithotomy Analgesia

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[1]	李文奇，余遥，刘勇.经皮肾镜碎石手术实施超声引导椎旁阻滞麻醉的护理配合[J].全科护理，2020，18（33）：4622-4624.
[2]	黄水通.经皮肾镜取石术治疗肾结石疗效分析[J].中国医药科学，2020，10（7）：239-242.
[3]	施长春，刘贵中，白文俊.三种麻醉在经皮肾镜碎石术中的应用[J].中国城乡企业卫生，2020，35（8）：37-39.
[4]	张彦斌，谭成玲.超声引导椎旁神经阻滞麻醉对经皮肾镜碎石取石术患者围手术期血流动力学及伤害应激反应影响[J].社区医学杂志，2019，17（20）：1281-1284.
[5]	顾国清，唐鸣.超声引导下椎旁神经阻滞用于经皮肾镜取石术患者术后镇痛的临床研究[J].中国初级卫生保健，2019，33（6）：101-103.
[6]	李世杰.不同维持剂量右美托咪定对经皮肾镜钬激光碎石术患者围手术期血流动力学的影响[J].心电图杂志（电子版），2019，8（3）：52-54.
[7]	邓耀良，叶章群，李虹.泌尿系结石临床诊断治疗学[M].北京：人民卫生出版社，2017：163.
[8]	谭宝乐.右美托咪定对经皮肾镜钬激光碎石取石术患者血流动力学及炎症因子的影响[D].南宁：广西医科大学，2019.
[9]	罗太君.胸椎旁神经阻滞在胸腔镜手术中的应用研究[D].北京：北京市结核病胸部肿瘤研究所，2019.
[10]	周先科，陈君，唐媛.超声引导下椎旁神经阻滞复合右美托咪定麻醉在经皮肾镜碎石取石术中的应用[J].微创泌尿外科杂志，2019，7（3）：177-180.
[11]	陆枫.经皮肾镜碎石取石术与输尿管软镜碎石术术输尿管上段结石的临床疗效对比[D].苏州：苏州大学，2019.
[12]	叶韬，李成文，高加胜，等.经皮肾镜与经输尿管软镜取石术治疗肾结石的临床效果观察[J].中国医学创新，2020，17（16）：127-130.
[13]	李亚楠，万政佐.连续下胸段椎旁神经阻滞在输尿管上段切开取石术后镇痛中的效果评价[J].中国基层医药，2016，23（3）：353-356.
[14]	陈晓炜，许学兵，李玄英.超声引导胸椎旁阻滞对经皮肾镜术后镇痛的影响[J].中国中西医结合外科杂志，2019，25（1）：40-45.
[15]	黄伟，周凤其，庄建.后腹腔镜肾盂切开取石术和经皮肾镜碎石取石术治疗老年患者肾盂结石的临床效果比较[J].中国医药，2021，16（8）：1227-1230.
[16]	宋少辉，童鹏，王森富.同期行双肾微创经皮肾镜碎石取石术在双侧上尿路结石治疗中的应用效果[J].现代医学与健康研究电子杂志，2021，5（15）：4-6.
[17]	胡小冬，张海波，袁文涛.超声引导胸椎旁阻滞技术在胸科手术中的应用研究[J].中国当代医药，2021，28（31）：114-117.
[18]	张珉.肾结石患者接受经皮肾镜碎石取石术与输尿管软镜钬激光碎石术治疗的效果对比分析[J].系统医学，2021，6（14）：96-98.
[19]	吴召召.超声引导下胸椎旁神经阻滞联合腰方肌阻滞在经皮肾镜碎石术中的应用[D].兰州：西北民族大学，2021.
[20]	陈晓炜，许学兵，李玄英.超声引导胸椎旁阻滞对经皮肾镜术后镇痛的影响[J].中国中西医结合外科杂志，2019，25（1）：40-45.
[21]	何康，张全书，马金鹏.经皮肾镜碎石取石术后发生全身炎症反应综合征的围手术期相关危险因素研究进展[J].湖北民族大学学报（医学版），2021，38（1）：80-84.
[22]	赵磊，黄亮，陈旭东.基于超声引导下超微经皮肾镜碎石术在肾盂结石治疗中的临床效果分析[J].中国医学装备，2021，18（2）：51-54.
[23]	吴汉潮，张雄伟，王强.经皮肾镜碎石取石术联合负压吸引术治疗复杂性肾结石临床研究[J].现代医药卫生，2021，37（9）：1530-1532