CAJ | 학술논문

目的：探讨胸椎旁神经阻滞在肝脏肿瘤射频消融手术中应用的安全性和有效性。方法选择本院肝脏肿瘤射频消融术患者40例,随机分靶控输注组G组(n=20)和椎旁阻滞组P组(n=20),记录和比较两组患者术中生命体征变化、麻醉效果、麻醉显效时间、手术时间、术后恢复室停留时间和不良事件发生情况以及术后VAS评分。结果两种方法麻醉效果优良率G组为95%,P组为100%；G组患者在麻醉诱导后MAP、HR、SPO2和R均有所下降,而P组患者生命体征更平稳；术中不良事件P组明显少于G组(P<0.05)；麻醉显效时间P组长于G组,恢复室停留时间G组长于P组(P<0.05)。术后24 h前各时间点VAS评分P组均小于G组(P<0.05)。结论胸椎旁神经阻滞麻醉在肝脏肿瘤射频消融手术中应用麻醉效果确切、循环平稳、术后镇痛时间长且不良事件少,因此可以安全、有效地应用于临床。
목적：탐토흉추방신경조체재간장종류사빈소융수술중응용적안전성화유효성。방법선택본원간장종류사빈소융술환자40례,수궤분파공수주조G조(n=20)화추방조체조P조(n=20),기록화비교량조환자술중생명체정변화、마취효과、마취현효시간、수술시간、술후회복실정류시간화불량사건발생정황이급술후VAS평분。결과량충방법마취효과우량솔G조위95%,P조위100%；G조환자재마취유도후MAP、HR、SPO2화R균유소하강,이P조환자생명체정경평은；술중불량사건P조명현소우G조(P<0.05)；마취현효시간P조장우G조,회복실정류시간G조장우P조(P<0.05)。술후24 h전각시간점VAS평분P조균소우G조(P<0.05)。결론흉추방신경조체마취재간장종류사빈소융수술중응용마취효과학절、순배평은、술후진통시간장차불량사건소,인차가이안전、유효지응용우림상。
Objective To investigate the safety and effectiveness of thoracic paravertebral nerve block on radiofrequency ablation of liver tumors. Methods A total of 40 patients underwent radiofrequency ablation of liver tumor, were ran-domly divided into target-controlled infusion group(group G,n=20)and paravertebral nerve block group (group P,n=20). The intraoperative vital signs, anesthesia effects,anesthesia work time, total operation time,postanesthesia care unit stay time, major adverse clinical events and postoperative VAS scores of two groups were recorded and compared. Results The anesthesia satisfactory rate of G group was 95% and P group was 100%. After anesthesia induction MAP,HR,SPO2 and R declined significantly in group G. Compared with group G,intraoperative vital signs were more stable in group P. Major adverse clinical events in group P were less than group G (P<0.05). The effecting time in group P was longer than group G. The postanesthesia care unit stay time was longer in group G than group P(P<0.05). The post-operative VAS scores in group P declined much more than those in group G before 24 hours postoperatively(P<0.05). Conclusion Thoracic paravertebral nerve block for anesthesia in liver tumors underwent radiofrequency ablation is safe and effective.