CAJ | 학술논문

目的：观察地佐辛复合罗哌卡因用于颈丛阻滞在甲状腺手术中的麻醉效果和安全性。方法：选择择期行甲状腺次全切除术患者60例，ASAⅠ~Ⅱ级，随机分成A组（0.1 mg/kg地佐辛复合0.25%罗哌卡因）和B组（0.25%罗哌卡因）各30例。行颈丛阻滞，记录阻滞前、阻滞后5 min、15 min、30 min时收缩压（SBP）、舒张压（DBP）、心率（HR）和血氧饱和度（SpO2）的变化，并行麻醉满意度评分及不良反应记录。结果：B组的SBP、DBP和HR较A组明显增高，也明显高于麻醉前，比较差异均有统计学意义（P<0.05），但SpO2和不良反应两组比较差异无统计学意义（P>0.05）。A组麻醉满意度明显优于B组，差异有统计学意义（P<0.05）。结论：0.1 mg/kg地佐辛复合0.25%罗哌卡因颈丛阻滞在甲状腺切除手术中可获得良好的麻醉效果，安全可行。
목적：관찰지좌신복합라고잡인용우경총조체재갑상선수술중적마취효과화안전성。방법：선택택기행갑상선차전절제술환자60례，ASAⅠ~Ⅱ급，수궤분성A조（0.1 mg/kg지좌신복합0.25%라고잡인）화B조（0.25%라고잡인）각30례。행경총조체，기록조체전、조체후5 min、15 min、30 min시수축압（SBP）、서장압（DBP）、심솔（HR）화혈양포화도（SpO2）적변화，병행마취만의도평분급불량반응기록。결과：B조적SBP、DBP화HR교A조명현증고，야명현고우마취전，비교차이균유통계학의의（P<0.05），단SpO2화불량반응량조비교차이무통계학의의（P>0.05）。A조마취만의도명현우우B조，차이유통계학의의（P<0.05）。결론：0.1 mg/kg지좌신복합0.25%라고잡인경총조체재갑상선절제수술중가획득량호적마취효과，안전가행。
Objective:To observe the clinical effects of dezocine combined with ropivacaine in cervical plexus block.Method:Sixty adult patients,ASAⅠ-Ⅱ,undergoing thyroidectomy with cervical plexus block were randomly divided into group A(0.1 mg/kg dezocine combined with 0.25%ropivacaine)and group B(only 0.25%ropivacaine),30 cases for each group.The blood pressure(Bp),heart rate(HR)and pulse oxygen saturation (SpO2)were recorded.The scores of anesthesia satisfaction and adverse reactions were recorded also.Result:The Bp and HR in group B were significant higher than those in group A after anesthesia(P<0.05).But there was no difference in SpO2 and the adverse reactions between tow groups(P>0.05).The satisfaction of anesthesia in group A was better than that in group B(P<0.05).Conclusion:The analgesia effect of 0.1 mg/kg dezocine combined with 0.25%ropivacaine in cervical plexus block is good,efficient and safty for thyroidectomy.