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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >Efficacy and Safety of Continuous Paravertebral Block after Minimally Invasive Radical Esophagectomy for Esophageal Cancer
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Efficacy and Safety of Continuous Paravertebral Block after Minimally Invasive Radical Esophagectomy for Esophageal Cancer

机译：在微创自由基食管切除术治疗食管癌后连续旁椎骨膜块的疗效和安全性

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Objective . To compare the effects of continuous paravertebral block analgesia and patient-controlled intravenous analgesia after minimally invasive radical esophagectomy for esophageal cancer and their effects on postoperative recovery. Methods . A retrospective analysis was performed among 233 patients who underwent minimally invasive esophageal cancer radical operation and met the requirements, including 87 patients (group C) who were successfully placed with a continuous paravertebral block device under direct vision and 146 patients (group P) who used a patient-controlled intravenous analgesia device. Visual analogue pain score (VAS) at rest and in motion for 1, 3, 6, 12, 24, 36, and 48 hours after awakening, incidence of adverse reactions of the two analgesic methods, occurrence of pulmonary complications after operation, use of emergency analgesics, and hospital stay after operation was recorded. Results . The VAS scores of group C in resting and active state at 1, 3, 6, 12, 24, 36, and 48 hours after operation were significantly lower than those of group P ( P 0.001 ). The incidence of adverse reactions, pulmonary complications, and the use of emergency analgesics in group C were lower than those in group P ( P 0.05 ). The hospitalization time of group C was significantly shortened, and the satisfaction degree of group C was significantly higher than that of group P ( P 0.05 ). Conclusion . Paravertebral block is safe and effective for patients undergoing minimally invasive radical esophagectomy. The incidence of adverse reactions and complications is lower, and the satisfaction of postoperative analgesia is higher, which is beneficial to the rapid recovery of patients after operation.
机译：客观的 。在微创自由基食管切除术治疗食管癌后，比较连续旁面嵌段镇痛和患者控制静脉镇痛的影响及其对术后回收的影响。方法 。在233名接受侵袭性食管癌根本操作的患者中进行了回顾性分析，并达到了87名患者（C组），其中87名患者（C组）在直接视觉和146名患者（P组）下用连续的椎旁阻滞装置成功放置患者控制的静脉内镇痛装置。视觉模拟疼痛评分（VAS）在休息和运动中，醒来的1,3,6,12,24,36和48小时后醒来，发生两次镇痛方法的不良反应，术后肺并发症发生，使用急诊镇痛药和医院留在营运后留下。结果 。在术后1,3,6,12,24,36和48小时的休息和活性状态下C组C的VAS分数显着低于P组P（p 0.001）。不良反应，肺部并发症和C组中急诊镇痛药的发生率低于P组（P 0.05）。 C组的住院时间显着缩短，C组的满意度明显高于P组（P 0.05）。结论 。对经历微创自由基食管切除术的患者来说是安全的，有效的。不良反应和并发症的发病率降低，术后镇痛的满足程度较高，这对术后患者的快速恢复有益。

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