超声引导下肋间神经超前镇痛对胸腔镜手术患者BNP和心功能的影响

发布时间：2018-04-21 20:45

本文选题：胸腔镜手术 + 心功能　；参考：《中国医疗器械信息》2017年16期

【摘要】：目的:分析超声引导下肋间神经超前镇痛对胸腔镜手术患者BNP和心功能的影响。方法:在医院内部选取2015年12月~2016年12月收治的110例拟行胸腔镜手术的患者进行临床研究,随机将其分为A、B两组,A组为常规单纯全麻组,B组为全麻联合超声引导下肋间神经阻滞组。针对两组患者的LVEF、LVEDD以及BNP等数值进行对比分析,评价超声引导下肋间神经超前镇痛对患者的BNP以及心功能影响。结果:术后7d的A组和B组患者的LVEDD数值显著高于术前1d,A组患者的LVEF数值显著低于术前,且A组患者的LVEF与LVEDD数值与B组患者相比差异有统计学意义(P0.05);手术治疗后,A、B两组患者的BNP数值均显著高于手术前,且B组患者的术后BNP数值明显低于A组(P0.05)。结论:超声引导下肋间神经超前镇痛对胸腔镜手术患者的心功能影响相对较小,宜广泛应用于胸腔镜手术的治疗当中。
[Abstract]:Objective: to analyze the effect of preemptive analgesia of intercostal nerve guided by ultrasound on BNP and cardiac function in patients undergoing thoracoscopic surgery. Methods: 110 patients undergoing thoracoscopic surgery from December 2015 to December 2016 were selected for clinical study. They were randomly divided into two groups: group A and group A: general anesthesia group (group B), general anesthesia group (group B) and intercostal nerve block group (group B) guided by ultrasound. To evaluate the effects of ultrasound guided preemptive analgesia of intercostal nerve on BNP and cardiac function in patients with LVEF, LVEDD and BNP. Results: the LVEDD value of group A and group B was significantly higher than that of group A 1 day before operation, and the LVEF value of group A was significantly lower than that of group A at 7 days after operation. The value of LVEF and LVEDD in group A was significantly higher than that in group B (P 0.05), and the value of BNP in group A was significantly higher than that in group B after operation, and the value of postoperative BNP in group B was significantly lower than that in group A (P 0.05). Conclusion: Ultrasound-guided preemptive analgesia of intercostal nerve has relatively little effect on cardiac function of patients undergoing thoracoscopic surgery, and should be widely used in the treatment of thoracoscopic surgery.
【作者单位】：辽宁省大连市普兰店区中心医院;
【分类号】：R614

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