关键词: 微创, 神经阻滞, 肺癌, 快速康复

Abstract: Objective To explore the value of ultrasound-guided anterior serratus and erector spinae block in the rapid rehabilitation of minimally invasive lung cancer radical surgery. Methods Retrospective data were analyzed in 120 patients with minimally invasive radical resection of lung cance in Jiangdu People's Hospital from May 2017 to November 2019. According to the different anaesthetic and postoperative analgesia program, the patients were randomized into two groups, 60 cases in each group. The anaesthetic mode of control group was double lumen endotracheal catheter intubation and analgesic method was in the form of patient-controlled intravenous analgesia pump. The anaesthetic mode of observation group was double lumen endotracheal catheter intubation and analgesic method was ultrasound-guided serratus anterior muscle and erector spinae plane block + intravenous self-controlled analgesic pump analgesia. The intraoperative index, postoperative analgesic effect and clinical related index were observed in two groups of patients. Results All 120 patients successfully completed the operation. There was no significant difference in heart rate, blood pressure and oxygen saturation during operation between the two groups （P>0.05）. There were statistically significant differences in postoperative pain score, incidence of postoperative dizziness, postoperative nausea and vomiting, incidence of postoperative pulmonary infection and postoperative ambulation time between the two groups （P<0.05）. Conclusion Ultrasound-guided serratus anterior muscle and erector spinae plane block has good analgesic effect, can achieve the goal of rapid recovery after surgery.

Key words: lung cancer, minimally invasive, nerve block, rapid recovery