目的：探讨冰袋联合锯齿肌前平面阻滞在胸腔镜肺切除术后的镇痛效果。
方法：随机对照试验设计。
方法：这项前瞻性随机对照试验招募了2021年10月至2022年3月在三级甲等医院接受胸腔镜肺切除术的患者。将患者随机分为对照组,前锯肌平面阻滞组,冰袋组,和冰袋结合锯齿肌前平面阻滞组。通过收集术后视觉模拟评分评价镇痛效果。
结果：共有133名患者同意参加本研究，其中120例患者最终纳入（n=30/组）。主要结果是SAP阻滞组的疼痛，冰袋组,与对照组相比，冰袋联合SAP阻断组在24小时内明显减少（P<0.05）。此外，在其他次要结局中发现了显着差异，比如王子-亨利12小时内的疼痛得分,24小时内15项恢复质量（QoR-15）评分，和24小时内的发烧时间。C反应蛋白值检测无显著性差异,白细胞计数,术后24小时内使用额外的镇痛药（P>.05）。
结论：对于胸腔镜全肺切除术后的患者，冰袋,锯齿肌前平面阻滞,冰袋联合锯齿肌前平面阻滞术后镇痛效果优于静脉镇痛。组合组表现出最好的结果。
To explore the analgesic effect of the ice pack combined with serratus anterior plane block after thoracoscopic pulmonary resection.
A randomized controlled trial design.
This prospective randomized controlled trial recruited patients who underwent thoracoscopic pneumonectomy in a grade A tertiary hospital from October 2021 to March 2022. The patients were randomly divided into the control group, the serratus anterior plane block group, the ice pack group, and the ice pack combined with serratus anterior plane block group. The analgesic effect was evaluated by collecting the postoperative visual analog score.
A total of 133 patients agreed to participate in this study, of which 120 patients were eventually included (n = 30/group). The primary outcome was that the pain in SAP block group, ice pack group, and ice pack combined with SAP block group decreased significantly within 24 hours compared with the control group (P < .05). Also, significant differences were noted in other secondary outcomes, such as Prince-Henry pain score within 12 hours, 15-item quality of recovery (QoR-15) score within 24 hours, and fever times within 24 hours. No significant difference was detected in the C-reactive protein value, white blood cell count, and the use of additional analgesics within 24 hours postoperatively (P > .05).
For patients after thoracoscopic pneumonectomy, ice pack, serratus anterior plane block, and ice pack combined with serratus anterior plane block produce better postoperative analgesic effects than intravenous analgesia. The combined group exhibited the best outcomes.
