| ObjectiveTo explore the efficacy and safety of floating needle combined with reperfusion exercises in treating postoperative analgesia of lung cancer patients by observing the clinilcal effect.MethodsAccording to the inclusion criteria and exclusion criteria of the study,we collected 60 patients with non-small-cell lung cancer(NSCLC)between September 2020 and February 2021 in our hospital who receive cardiothoracic surgery under general anesthesia television thoracoscope(video-assisted thoracoscopic surgery,VATS)disease of lung resection in the department of cardiothoracic surgery and signed the informed consent.the operation of two groups were completed by the same medical team,and the operation s were all with endotracheal intubation general anesthesia.60 patients were randomly assigned to the experimental group(group A)and the control group(group B)according to the proportion of 1:1.The control group was subjected to continuous thoracic paravertebral block(CTPVB)for postoperative analgesia,and the experimental group(group A)was subjected to CTPVB+ floating acupuncture for analgesia,means on the basis of CTPVB analgesia,the patients were treated with floating needle therapy 24 h,48h and 72 h after surgery,for a total of three times.We observed and recorded the postoperative pain VAS scores at each time point,the degree of pain and analgesic drug dosage and analgesic effects,also recoreded the date such as the function score of shoulder joint and the volume of continuous thoracic drainage.we made postoperative follow-up(mean follow-up time was 1 m)for all the 60 patiens,and collected the information including patients’ hospitalized number,name,gender,age,BMI,the date of surgery,operative duration,intraoperative blood loss,hospitalization days and expenses.We established atabase and quantitatively processed all data,finally imported all the information into SPSS(V23.0)statistical software to statistical analysis of the data in order to determine the clinical efficacy and safety of floating needle combined with reperfusion exercises in the treatment of postoperative pain in lung cancer patients.Results1.Analysis of the general situation of the research object:60cases were included meet the criteria,while 27 male patients(45%)and 33 female patients(55%),with an age range of 33 to 78 years old and a median age were 58 years old(48 to 66 years old).Most of them were middle-aged and elderly patients,with a total of 55 cases(91.6%).There was no significant difference between the two groups in gender,age,BMI,operative duration,intraoperative blood loss,total drainage volume,postoperative hospitalization cost(P>0.05).2.Comparison of postoperative pain: The postoperative VAS scores of the two groups were analyzed by repeated measurement ANOVA,which showed that the VAS scores changed significantly when the time changed.There was significant difference in the range of postoperative VAS changes over time between group A and group B,and the differences were statistically significant(P<0.05).Pairwise comparison between the two groups showed no statistically significant difference in VAS scores at 6h after surgery(P>0.05),the VAS score of group A was lower thanthe group B postoperative 24 h and 48 h,72h as well as 1w and 1M,and the difference was statistically significant(P<0.05).3.Comparison of analgesic drug dosage: he dosage of ropivacaine injection and flurbiprofen ester injection in two groups at each time point after operation showed that the dosage of two drugs in two groups changed significantly with the change of time point by repeated measurement ANOVA.Moreover,there were significant differences in the amount of different groups over time(P<0.05).In addition,there was no significant difference in the dosage of ropivacaine injection at each time point after surgery between group A and group B.The dosage of flurbiprofen ester injection at 6h and 72 h after surgery between the two groups(P>0.05),but in group A,the amount of flurbiprofen ester injection at 24 h and 48 h after surgery was significantly different(P<0.05).Otherwise,The chi-square test shows that the patients of using tramadol injection and tramadol sustainedrelease tablets in group A at 48 h and 72 h after operation was significantly lower than that in group B,and the difference was statistically significant(P<0.001).4.Comparison of postoperative analgesia efficacy: postoperative pain efficacy of group A at 24 h,48h and 72 h was better than that of group B,and there was significant difference between the two groups(P<0.001).5.Comparison of shoulder function:the median shoulder functional score in 24 hours after surgery was 76(68.0,82.5)in all patients,of which 82.5(81.0,83.5)points in group A were higher than68.0(67.5,69.0)points in group B,the difference between the two groups was statistically significant(P<0.001).6.Comparison of hospitalization days: The median length of hospitalization in the two groups was 9(8,11)days,including 9(7,9)in group A and 11(9.14)in group B.The length of hospitalization in group A was shorter than that in group B,and the difference was statistically significant(P<0.001).7.Comparison of the incidence of postoperative complications: A total of 9 patients in the two groups happened postoperative complications and the incidence of which was 15%,.a Aong which,no postoperative complications occurred in group A,while 9 patients in group B and the incidence was 30%,the difference was statistically significant(P<0.002).ConclusionFloating needle combined with reperfusion exercises can significantly relieve postoperative pain in patients with lung cancerafter minimally invasive radical surgery,also reduce the amount of analgesic drugs and improve postoperative shoulder function.Furthermore,this treatment can reduce postoperative complications and shorten the length of hospital stay of patients in order to promoting rapid recovery of patients.So it is a safe and effective analgesic measure for perioperative postoperative pain in patients with lung cancer. |
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