Effect Of Different Analgesic Methods On Postoperative Pain In Patients Undergoing Uniportal Thoracoscopic Surgery

Objective:Comparison of different multimodal analgesia versus Uniportal thoracoscopic surgery Patients with postoperative acute and chronic pain.Methods: A total of 128 patients undergoing selective thoracoscopic surgery at the Department of Thoracic Surgery,the Second Affiliated Hospital of Dalian Medical University from May to November 2017 were divided into experimental group and control group.In the experimental group,singlethoracic paravertebral block(T),single thoracic paravertebral block combined patient controlled intravenous analgesia PCIA(TP),single erector spinae plane block(E),erector spinae plane block combined patient controlled intravenous analgesia PCIA(EP),control group: patient controlled intravenous analgesia PCIA(P).One day before surgery to visit patients,follow-up to 3months after surgery.Visit the patient before surgery to learn more about the patient's general condition.Patients were assessed for anxiety before and after surgery until discharge.NRS pain scores were administered to patients daily from postoperative to discharge,and phone-to-patient follow-up was performed bi-weekly to assess the presence and severity of pain three to three months post-surgery.The relationship between the multimodal analgesia and the degree of pain was analyzed.On the patient's discharge day and 3 months after surgery to assess the degree of pain on the patient's body function.120 patients were evaluated on the third day after surgery and 116 patients were followed up for three months.Results: The incidence of acute and chronic pain in TP,EP group and control group P were lower than those in T,E group.TP,EP group less postoperative complications than P group.The level of anxiety score was positively correlated with the severity of postoperative acute pain.Among them,the anxiety score and pain score of TP,EP group were lower than other groups in the hospital.Conclusion: Postoperative acute and chronic pain and complications in patients who underwent single erector spinal planar block combined PCIA and single paraspinal block combined PCIA postoperative were lower than other groups in uniportal thoracoscopic surgery.