CAJ | 학술논문

目的：研究右美托咪定辅助颈神经丛阻滞行甲状腺手术的临床应用价值。方法将2012年8月~2013年8月在我院接受颈神经丛阻滞下甲状腺手术的患者纳入研究，根据术中麻醉维持方法不同分为给予右美托咪定微泵注射的观察组和给予异丙酚微泵注射的对照组，比较两组患者的术中生命体征的变化。结果手术中，观察组患者的收缩压（104.8±15.2）mmHg、舒张压(68.9±9.5)mmHg、心率(85.8±12.1)次/min水平均低于对照组，差异有统计学意义（P＜0.05）。结论右美托咪定辅助颈神经丛阻滞行甲状腺手术有助于稳定生命体征，具有积极的临床应用价值。
목적：연구우미탁미정보조경신경총조체행갑상선수술적림상응용개치。방법장2012년8월~2013년8월재아원접수경신경총조체하갑상선수술적환자납입연구，근거술중마취유지방법불동분위급여우미탁미정미빙주사적관찰조화급여이병분미빙주사적대조조，비교량조환자적술중생명체정적변화。결과수술중，관찰조환자적수축압（104.8±15.2）mmHg、서장압(68.9±9.5)mmHg、심솔(85.8±12.1)차/min수평균저우대조조，차이유통계학의의（P＜0.05）。결론우미탁미정보조경신경총조체행갑상선수술유조우은정생명체정，구유적겁적림상응용개치。
Objective:To study the ef ects of dexmedetomidine assisted cervical plexus block for thyroid operation value in clinical application. Methods:the 2012 August-2013 year in August in our hospital during the acceptance into the cervical plexus block for thyroid operation patients, according to the maintenance of anesthesia were divided into given dexmedetomidine micro pump injection in observation group and control group given propofol micro pump injection, changes of vital signs of two groups of patients intraoperative. Results: the operation, the patients in observation group systolic blood pressure (104.8 ± 15.2) mmHg, diastolic blood pressure (68.9 ± 9.5) mmHg, heart rate (85.8 ± 12.1)/min levels were lower than the control group, the dif erence was statistical y significant (P<0.05). Conclusion:Dexmedetomidine cervical plexus block for thyroid operation contributes to stable vital signs, has positive clinical application value.