Application of ultrasound-guided intercostal nerve block combined with intravenous analgesia and nursing for lung cancer patients with thoracoscopic radical surgery

GU Xiaojuan; BAI Jixiang; MAO Zhimeng; SHU Yusheng; HUANG Tianfeng; GE Yali; LI Yong

doi:10.7619/jcmp.20200832

Journal of Clinical Medicine in Practice > 2021 > 25(8): 55-59. > DOI: 10.7619/jcmp.20200832

GU Xiaojuan, BAI Jixiang, MAO Zhimeng, SHU Yusheng, HUANG Tianfeng, GE Yali, LI Yong. Application of ultrasound-guided intercostal nerve block combined with intravenous analgesia and nursing for lung cancer patients with thoracoscopic radical surgery[J]. Journal of Clinical Medicine in Practice, 2021, 25(8): 55-59. DOI: 10.7619/jcmp.20200832

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Application of ultrasound-guided intercostal nerve block combined with intravenous analgesia and nursing for lung cancer patients with thoracoscopic radical surgery

1.
School of Nursing of Yangzhou University, Yangzhou, Jiangsu, 225001
2.
Department of Thoracic Surgery, Subei People's Hospital of Jiangsu Province, Yangzhou, Jiangsu, 225001
3.
Department of Anesthesiology, Subei People's Hospital of Jiangsu Province, Yangzhou, Jiangsu, 225001

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Received Date: September 14, 2020
Available Online: April 29, 2021
Published Date: April 27, 2021

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Abstract

Abstract

Objective To observe clinical efficacy of ultrasound-guided intercostal nerve block combined with intravenous analgesia for lung cancer patients with thoracoscopic radical surgery and nursing effect of systemic holistic care.
Methods A total of 60 patients with lung cancer undergoing thoracoscopic radical operation were selected as study objects, and were divided into observation group and control group according to different postoperative analgesia methods, with 30 cases in each group. The observation group was given ultrasound-guided intercostal nerve block combined with intravenous analgesia, while the control group was given epidural analgesia. The analgesic scores at 2, 4, 6, 12, 24 and 48 h after operation and Ramsay scores were compared between the two groups. Postoperative adverse reactions and scores of Nurses' Observation Scale for Inpatient Evaluation (NOSIE) were compared before and after nursing.
Results The scores of active pain and resting pain in the observation group at 2, 4, 6 and 12 h were significantly lower than those in the control group (P < 0.05), but the scores of active pain and resting pain in the observation group at 24 and 48 h after operation were significantly higher than the control group (P < 0.05); the Ramsay scores at 2, 4, 6, 12, 24 and 48 h of the observation group were significantly higher than those of the control group (P < 0.05). After nursing, NOSIE scores of the two groups were lower than before nursing, but the observation group was higher than the control group (P < 0.05). The incidence of postoperative adverse reactions in the observation group was significantly higher than that in the control group (P < 0.05).
Conclusion Ultrasound-guided intercostal nerve block combined with intravenous analgesia has better efficacy than epidural analgesia, but its duration of intercostal nerve block analgesia is short, and there are excessive sedation and high incidence of adverse reactions. Therefore, these patients need to conduct systematic holistic nursing intervention.

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