中图分类号：R614 文献标识码：A文章编号：1006-1959(2025)13-0162-04

    DOI：10.3969/j.issn.1006-1959.2025.13.033

    Abstract：ObjectiveTstudythefetofultrasounduidedcervicalvagsnervebockinthoracicsrgeryMethodUsingthadoer tablemethodforyatintsoderwttoacicurgeryouritalfroMarch2tebary4eredidedintoconolod observationgou，Oatientspoupeotroloueceiedgneralesthsiawitrachealitubatioereasthbseatioou underwentrodddaloniilale pain(VAS)soroseatsddeofoaidcedeoo ResultsComparediheoloupteseatiogopadsoterbloostieakenngtiestrotestialcovyed hospitalstayllsill groups( Pgt; 0.05).TheVASscoreoftheoservationgoupuringanesthesiarecoeryndafteroperationwaslowerthanthatofthecontrolgroup( Plt; 0.05).After5inofaesthsiatheartatendanarteialpressureoftetogroupsrelowrtantosebeforeastsiautte observation group was higher than the control group (P

    KeyWords：Ultrasound-guided; Cervical vagus nerve block;Thoracic surgery;VAS

    随着现代医学水平的不断提高，胸腔镜外科手术(thoracoscopic surgery)在临床中广泛应用，并且已经逐渐取代开胸手术。传统胸腔镜手术多采用全身麻醉方式双腔支气管插管方法，但临床应激反应大，术后并发症发生风险高，应用安全性备受争议。非气管插管胸腔镜手术麻醉采用硬膜外阻滞、肋间神经阻滞、迷走神经阻滞等技术，可保留自主呼吸，有效避免双腔管插管等并发症3，但是通过腔镜进行迷走神经阻滞操作要求高，在临床应用中受到一定限制4 ......