罗哌卡因竖脊肌平面阻滞联合全麻对肺癌手术患者的影响

Objective To explore the application of ropivacaine erector spinae plane block in thoracoscopic lung cancer surgery for patients, as well as the combined general anesthesia method, and to investigate the clinical application effect and influence of this combined general anesthesia approach. Methods A total of 80 patients undergoing thoracoscopic lung cancer surgery from January 2024 to June 2025 were enrolled and divided into two groups(grouping method: different anesthesia regimens), with 40 cases in each group. The control group received general anesthesia, while the observation group received ropivacaine erector spinae plane block combined with general anesthesia. The clinical outcomes of different anesthesia regimens were analyzed. Results Compared with the control group, the observation group showed lower pain scores(VAS) at 6 hours postoperatively(T1), 24 hours postoperatively(T2), and 48 hours postoperatively(T3)(P<0.05). Heart rate and mean arterial pressure were lower at tracheal intubation(t1) and tracheal extubation(t2)(P<0.05). All perioperative recovery time indicators were shorter than those in the control group(P<0.05). The incidence of adverse reactions during the perioperative period was lower than that of the control group(P<0.05). Conclusion The combined use of ropivacaine erector spinae plane block and general anesthesia in thoracoscopic lung cancer surgery can alleviate patient pain, adjust hemodynamics, and has a lower incidence of adverse reactions.