胸椎旁神经阻滞对胸腔镜下肺部分切除术老年病人术后肺部并发症的影响

doi:10.3969/j.issn.1003-9198.2023.11.006

Abstract

Abstract: Objective To explore the effects of thoracic paravertebral block (TPVB) on postoperative pulmonary complications (PPCs) in the elderly patients undergoing thoracoscopic partial lung resection based on propensity score matching method. Methods A retrospective analysis of 818 elderly patients who underwent thoracoscopic partial lung resection from October 2021 to June 2022 was conducted. The patients were divided into TPVB group and non-TPVB group according to whether TPVB was performed preoperatively. The general data, perioperative variables, imaging detection and laboratory results of the patients were collected. After propensity score matching, the incidence of PPCs was compared between the two groups. Results After propensity score matching, there were 186 patients in each group. There were no significant differences in the baseline clinical data between the two groups(P>0.05). Compared with non-TPVB group, consumption of intraoperative opioids, the incidence rate of PPCs, proportion of rescue analgesia postoperatively and D-dimer level were significantly lower in the TPVB group(P<0.05). Conclusions Preoperative TPVB can provide effective analgesic effects and reduce the incidence of PPCs in the elderly patients undergoing thoracoscopic partial lung resection.

Key words: thoracic paravertebral block, thoracoscopic partial lung resection, aged, postoperative pulmonary complications

CLC Number:

R 614.4

ABUDUROUSULI Gulibositan, CHEN Da-peng, ZHA Tian-ming, GUI Bo, DING Xia-hao. Effects of thoracic paravertebral block on postoperative pulmonary complications in elderly patients undergoing thoracoscopic partial lung resection[J]. Practical Geriatrics, 2023, 37(11): 1103-1106.

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Effects of thoracic paravertebral block on postoperative pulmonary complications in elderly patients undergoing thoracoscopic partial lung resection

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