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| 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 |
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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.
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[1] 王悠清,李辉章,龚巍巍,等.2015年浙江省肿瘤登记地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2019,28(1):12~22.
[2] 李佳,欧珊,曾强,等.超声引导下前锯肌平面阻滞在单侧乳腺包块切除术中的应用研究[J].成都医学院学报,2018,13(6):87~90.
[3] 徐晓海,温馨,王国年.超声引导下胸神经阻滞在乳腺手术中的研究进展[J].临床麻醉学杂志,2020,36(5):513~516.
[4] 赵赢,姚安民,冯树全,等.超声引导下胸壁神经阻滞与胸椎旁神经阻滞用于乳腺癌改良根治术的镇痛效果[J].临床麻醉学杂志,2020,36(1):58~62.
[5] 王卓,王伟,宋文沁,等.超声引导下胸壁神经阻滞Ⅰ联合前锯肌平面阻滞在乳腺癌改良根治术麻醉中的应用[J].武汉大学学报(医学版),2020,41(5):763~766.
[6] 刘金升,潘楚雄.超声引导耳大神经阻滞在鼓室乳突手术的临床应用与效果评价[J].北京医学,2018,40(1):51~54.
[7] 杨菁,宁俊平.小剂量瑞芬太尼对乳腺癌根治术老年患者的麻醉效果[J].西南国防医药,2018,28(7):643~645. |
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2021, Vol. 27 
