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| Effect of Ultrasound-Guided Stellate Ganglion in Patients Undergoing Thoracoscopic Surgery for Lung Cancer and Risk Factors of Postoperative Acute Pain |
| WANG Weili, LIU Jiandong HUANG Mingwei, et al |
| Joint Support Force No. 909 Hospital / Southeast Hospital Affiliated to Xiamen University, Fujian Xiamen 363000, China |
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Abstract Objective: To investigate the effect of ultrasound-guided stellate ganglion block (SGB) in patients with thoracoscopy for lung cancer and analyze the risk factors for acute postoperative pain. Methods: A total of 98 patients undergoing thoracoscopic surgery for lung cancer in our hospital from January 2021 to December 2022 were randomly divided into 2 groups, 49 cases in the control group and 49 cases in the study group. In the study group, a right stellate ganglion block was performed at the C6~7 level under ultrasound guidance, and 5mL of 0.5% ropivacaine was given, while in the control group, 5 mL of saline was given at the same location to compare the two groups with perioperative indicators before stellate ganglion block (T1), 5 min (T2) after extubation, and 6:00 am (T3). After one day, pain was assessed by visual analogue scoring method (VAS). According to the VAS score, 29 patients were divided into the acute pain group (VAS 3 points) and 69 patients in the non-acute pain group (VAS <3 points). The risk factors for postoperative acute pain were analyzed.Results: Postoperative extubation time, time to leave the recovery room to SM, sufentanil use, PAPT, postoperative delirium rate, nausea and vomiting rate of the study group were not statistically significant compared with that of the control group (P>0.05), and the postoperative discharge time of the study group was significantly shorter than that of the control group (P<0.05).The levels of epinephrine (E) and norepinephrine (NE) were elevated in both groups at the T2 and T3 time points compared with the T1 time point (P<0.05), but E and NE were significantly lower in the study group than in the control group (P<0.05). After univariate analysis, age, operation time, intercostal space width, and psychological anxiety were the influencing factors of postoperative acute pain in thoracoscopic patients with lung cancer (P<0.05), and after multifactorial binary logistic regression analysis, operation time ≥150min and psychological anxiety were the risk factors of postoperative acute pain in thoracoscopic patients with lung cancer, and intercostal space width ≥1cm was a postoperative protective factor for acute pain (P<0.05).Conclusion: Ultrasound-guided SGB applied to patients undergoing thoracoscopic surgery for lung cancer effectively reduces stress and shortens patients' hospitalization time; postoperative pain is associated with operative time ≥150 min, intercostal space width <1 cm, and psychological anxiety.
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2023, Vol. 29 
