Effect of Erector Spinae Plane Combined with Thoracic Paravertebral Nerve Block in Patients Undergoing Thoracoscopic Lobectomy
BU Yanan
PAN Silei
ZHANG Xiaowei
ZHANG Yongqiang
Abstract：Objective To explore the effects of ultrasound-guided erector spinal plane combined with thoracic paravertebral nerve block in patients undergoing thoracoscopic lobectomy.Methods A total of 62 patients who underwent thoracoscopic lobectomy in Zhengzhou Central Hospital from May to September 2022 were selected and randomly divided into erector spinal plane combined thoracic paravertebral nerve block group(ET group)and thoracic paravertebral nerve block group(T group),with 31 patients in each group.Before induction of general anesthesia,ET group received unilateral T4 and T6 paravertebral nerve block and unilateral T4 erector spinal plane block under ultrasound guidance,while T group received unilateral T4 and T6 paravertebral nerve block under ultrasound guidance.Patient controlled intravenous analgesia was administered intravenously at the end of the operation.The quality of recovery-15(QoR-15)scale scores on the 1st and 2nd postoperative days,the numeric rating scales(NRS)of rest and cough between the two groups at 0,2,6,12 and 24 hours after surgery,the intraoperative drug dosage and related surgical indicators between the two groups and the occurrence of adverse reactions between two groups were compared.Results There was no statistically difference in intraoperative medication dosage,resting and cough NRS scores at 0,2 and 6 hours after surgery,number of postoperative pain relief cases and discharge time between the two groups of patients(P＞0.05).Compared with T group,the QoR-15 score of ET group on the 1st and 2nd day after surgery was increased,the time of first pressure on the analgesic pump was prolonged,the number of effective pressure on the analgesic pump was reduced,and the NRS scores of postoperative 12 and 24 hours resting and coughing were decreased(P＜0.05).There was no statistically difference in the occurrence of adverse reactions between the two groups(P＞0.05).Conclusion Compared with simple thoracic paravertebral nerve block,erector spinal plane block combined with thoracic paravertebral nerve block can prolong analgesia time and improve postoperative recovery quality of patients,providing reference for clinical application.
Keywords：thoracic paravertebral nerve blockthoracoscopic surgeryanalgesicenhanced recovery after surgery
Publication Date：2023-12-31
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：6( 4441-4446 )