Effect of continuous serratus anterior plane block on postoperative recovery in elderly patients undergoing thoracoscopic radical resection of lung cancer

JIANG Yu-yu; YU Ru; YIN Tian-yue; LI Xiao-yu; CHENG Xiang-yang

doi:10.16766/j.cnki.issn.1674-4152.002087

Volume 19 Issue 9

Sep. 2021

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Article Navigation > Chinese Journal of General Practice > 2021 > 19(9): 1466-1469,1487

JIANG Yu-yu, YU Ru, YIN Tian-yue, LI Xiao-yu, CHENG Xiang-yang. Effect of continuous serratus anterior plane block on postoperative recovery in elderly patients undergoing thoracoscopic radical resection of lung cancer[J]. Chinese Journal of General Practice, 2021, 19(9): 1466-1469,1487. doi: 10.16766/j.cnki.issn.1674-4152.002087

Citation:

JIANG Yu-yu, YU Ru, YIN Tian-yue, LI Xiao-yu, CHENG Xiang-yang. Effect of continuous serratus anterior plane block on postoperative recovery in elderly patients undergoing thoracoscopic radical resection of lung cancer[J]. Chinese Journal of General Practice, 2021, 19(9): 1466-1469,1487. doi: 10.16766/j.cnki.issn.1674-4152.002087

Citation:

JIANG Yu-yu, YU Ru, YIN Tian-yue, LI Xiao-yu, CHENG Xiang-yang. Effect of continuous serratus anterior plane block on postoperative recovery in elderly patients undergoing thoracoscopic radical resection of lung cancer[J]. Chinese Journal of General Practice, 2021, 19(9): 1466-1469,1487. doi: 10.16766/j.cnki.issn.1674-4152.002087

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Effect of continuous serratus anterior plane block on postoperative recovery in elderly patients undergoing thoracoscopic radical resection of lung cancer

doi: 10.16766/j.cnki.issn.1674-4152.002087

Department of Anesthesiology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

202010367012

KJ2018A0212

Received Date: 2020-08-18
Available Online: 2022-02-15

Abstract

Abstract

Objective To explore the effect of continuous serratus anterior plane block (SAPB) guided by ultrasound on postoperative analgesia and recovery in elderly patients undergoing thoracoscopic radical resection of lung cancer. Methods From October 2019 to June 2020, 60 patients in the First Affiliated Hospital of Bengbu Medical College undergoing thoracoscopic radical resection of lung cancer were selected and divided into the P group and SP group with 30 cases each by a simple random method. Patients in the P group received intravenous patient-controlled analgesia, whilst those in the SP group received continuous SAPB analgesia. The VAS scores of rest and activity, quality of postoperative recovery (QoR-40) scores, CD4⁺, CD4⁺/CD8⁺ and postoperative adverse events were compared between the two groups before and after 1, 3 and 7 days of surgery. Results The resting and active pain scores of the SP group were 1.6±0.2, 2.3±0.4, 1.4±0.3 and 1.9±0.3, which were lower than those of the P group (2.5±0.3, 3.7±0.3, 2.1±0.2, 2.9±0.4, all P < 0.05). The QOR-40 scores, CD4⁺ and CD4⁺/CD8⁺ in the SP group were 170.7±3.2, 173.3±2.9, 40.8±6.4, 42.3±6.4, 1.5±0.1, 1.6±0.1 at 1 and 3 days after surgery, which were higher than those in the P group (162.8±3.7, 167.9±2.7 and 36.2±6.2, 39.0±5.0, 1.3±0.2, 1.4±0.2, all P < 0.05). The postoperative adverse reaction rate in the SP group was 4.6%, which was significantly lower than that in the P group (17.3%, P < 0.05). Conclusion As a postoperative analgesic strategy, continuous SAPB guided by ultrasound can significantly reduce postoperative pain, reduce stress response and immunosuppression, and promote early recovery of elderly patients undergoing thoracoscopic radical resection of lung cancer.
- Continuous serratus anterior plane block,
- Elderly patients,
- Postoperative recovery quality,
- Stress reaction,
- Immunosuppression

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References

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Effect of continuous serratus anterior plane block on postoperative recovery in elderly patients undergoing thoracoscopic radical resection of lung cancer

doi: 10.16766/j.cnki.issn.1674-4152.002087