Ultrasound-Guided Pectoral Nerve Block I and Serratus-Intercostal Plane Block Alleviate Postoperative Pain in Patients After Modified Radical Mastectomy
YANG Kunhong, LI Yang, YI Qinmei
Minda Hospital Affiliated to Hubei University for Nationalities, Hubei Enshi 445000, China
Abstract：Objective: To investigate the effect of ultrasound-guided pectoral nerve block I and serratus-intercostal plane block alleviate postoperative pain in patients after modified radical mastectomy.Methods: 80 patients with breast cancer who sought medical care in our hospital from Feb. 2016 to Feb. 2018 were enrolled and divided into PECSI block group (observation group) and only general anesthesia group (control group) via block randomized grouping method, 40 cases in each group. The observation group had anesthesia combining PECSI with SPB. 2 groups of patients had static absorption composite after anesthesia induction, the analgesic effect and safety were compared between the 2 groups of patients. Results: Visual analogue scale (VAS) after 4h, 8h, 12h and 24h of surgery and daily sleep disturbance quality score (DSIS) in the observation group were significantly lower than those in the control group (all P<0.05). Compared with the control group, patients in the observation group had a longer postoperative analgesia time and a higher degree of satisfaction with analgesia, and the difference was statistically significant (P<0.05). The incidence of postoperative adverse reactions, such as nausea and vomiting, skin itching and dizziness, was significantly lower in the observation group than in the control group (all P<0.05). Conclusion: Ultrasound-guided PECSI combined with SPB by ropivacaine has a significant analgesic effect on radical mastectomy, which can be promoted in clinical practice.
2021, Vol. 27 
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