神经阻滞促进胸腔镜下肺结节手术病人术后早期康复

doi:10.3969/j.issn.1005-6483.2021.07.023

摘要/Abstract

摘要： 目的探讨不同神经阻滞方式对胸腔镜下肺结节手术病人术后早期康复的影响。
方法 2020年6月～12月行胸腔镜下肺结节手术，符合纳入标准的病人共1176例，其中494例行神经阻滞，包括胸腔镜下肋间神经阻滞、超声引导下肋间神经阻滞和超声引导下椎旁神经阻滞和超声引导下竖脊肌阻滞。探讨不同神经阻滞方式与肺结节手术病人早期康复的关系。
结果实施神经阻滞的病人术后住院时间为3(2,7)天，未行神经阻滞的病人为5(3,9)天，两者比较差异有统计学意义(P＜0.05)。术前实施的神经阻滞病人在恢复室停留时间为46(35,58)分钟，术后实施的神经阻滞病人恢复室停留时间为59(47,73)分钟，两者比较，差异有统计学意义(P＜0.05)，术前和术后实施神经阻滞的病人术后住院时间比较，差异无统计学意义。不同类型神经阻滞的病人术后住院时间比较，差异无统计学意义(P＞0.05)。
结论神经阻滞可缩短胸腔镜下肺结节手术病人的住院时间，加速术后康复。

关键词: 神经阻滞, 肺结节, 胸腔镜手术, 术后康复

Abstract: Objective To investigate the effect of different nerve blocks on the prognosis of patients with pulmonary nodule undergoing video-assisted thoracic surgery.
Methods The clinical data of patients with pulmonary nodule undergoing video assisted thoracic surgery from June to December 2020 in Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology were reviewed.The relationship between different nerve blocks and the prognosis of patients were studied.
Results The postoperative hospitalization time of patients with nerve block(3(2,7) days) was significantly shortened compared with patients without nerve block[5(3,9)days，P＜0.05].Time spending in postanesthesia care unit for patients with preoperative nerve block(46(35,58) min) was significantly shorter than patients with postoperative nerve block[59(47,73) min)，P＜0.05],however there was no difference in postoperative hospitalization time between the two groups.There was also no significant difference in postoperative hospitalization time among patients with various types of nerve blocks(P＞0.05).
Conclusion Nerve blocks can significantly shorten the hospitalization time of patients with pulmonary nodule undergoing video assisted thoracic surgery and accelerate the postoperative rehabilitation of patients.

Key words: nerve block, pulmonary nodule, video-assisted thoracic surgery, postoperative rehabilitation

罗佳佳吴志林. 神经阻滞促进胸腔镜下肺结节手术病人术后早期康复[J]. 临床外科杂志, 2021, 29(7): 673-675.

LUO Jiajia, WU Zhilin.. The administration of nerve blocks enhances recovery of patients with pulmonary nodule undergoing video-assisted thoracic surgery[J]. JOURNAL OF CLINICAL SURGERY, 2021, 29(7): 673-675.

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