中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
35期
90-91,94
,共3页
李以平%朱金有%易金容%贺婷玉
李以平%硃金有%易金容%賀婷玉
리이평%주금유%역금용%하정옥
全身麻醉%颈浅丛阻滞%甲状腺手术%血流动力学
全身痳醉%頸淺叢阻滯%甲狀腺手術%血流動力學
전신마취%경천총조체%갑상선수술%혈류동역학
General anesthesia%Cervical plexus block%Thyroid surgery%Hemodynamics
目的：研究全身麻醉复合双侧颈浅丛阻滞在甲状腺手术中的应用效果。方法择期行甲状腺手术患者80例，按随机数字表法分为全身麻醉复合双侧颈浅丛阻滞组(A组)和单纯全身麻醉组(B组)，每组40例，A组全身麻醉诱导后用1%利多卡因+0.25%罗哌卡因进行双侧颈浅丛阻滞；B组进行常规全身麻醉；记录麻醉诱导前、诱导后、切皮时、手术开始后30 min、缝皮时的MAP和HR变化及两组患者复苏时恶心呕吐、躁动和疼痛的发生率。结果两组手术时间比较差异无统计学意义(P>0.05)。 B组切皮时、手术开始后30 min、缝皮时的MAP、HR均高于诱导前、诱导后及A组(P<0.05)。两组复苏时恶心呕吐发生率比较，差异无统计学定义(P>0.05)。B组复苏时躁动及疼痛发生率明显高于A组(P<0.05)。结论全身麻醉复合双侧颈浅丛阻滞用于甲状腺手术可有效维持血流动力学稳定，减少苏醒期躁动及疼痛的发生。
目的：研究全身痳醉複閤雙側頸淺叢阻滯在甲狀腺手術中的應用效果。方法擇期行甲狀腺手術患者80例，按隨機數字錶法分為全身痳醉複閤雙側頸淺叢阻滯組(A組)和單純全身痳醉組(B組)，每組40例，A組全身痳醉誘導後用1%利多卡因+0.25%囉哌卡因進行雙側頸淺叢阻滯；B組進行常規全身痳醉；記錄痳醉誘導前、誘導後、切皮時、手術開始後30 min、縫皮時的MAP和HR變化及兩組患者複囌時噁心嘔吐、躁動和疼痛的髮生率。結果兩組手術時間比較差異無統計學意義(P>0.05)。 B組切皮時、手術開始後30 min、縫皮時的MAP、HR均高于誘導前、誘導後及A組(P<0.05)。兩組複囌時噁心嘔吐髮生率比較，差異無統計學定義(P>0.05)。B組複囌時躁動及疼痛髮生率明顯高于A組(P<0.05)。結論全身痳醉複閤雙側頸淺叢阻滯用于甲狀腺手術可有效維持血流動力學穩定，減少囌醒期躁動及疼痛的髮生。
목적：연구전신마취복합쌍측경천총조체재갑상선수술중적응용효과。방법택기행갑상선수술환자80례，안수궤수자표법분위전신마취복합쌍측경천총조체조(A조)화단순전신마취조(B조)，매조40례，A조전신마취유도후용1%리다잡인+0.25%라고잡인진행쌍측경천총조체；B조진행상규전신마취；기록마취유도전、유도후、절피시、수술개시후30 min、봉피시적MAP화HR변화급량조환자복소시악심구토、조동화동통적발생솔。결과량조수술시간비교차이무통계학의의(P>0.05)。 B조절피시、수술개시후30 min、봉피시적MAP、HR균고우유도전、유도후급A조(P<0.05)。량조복소시악심구토발생솔비교，차이무통계학정의(P>0.05)。B조복소시조동급동통발생솔명현고우A조(P<0.05)。결론전신마취복합쌍측경천총조체용우갑상선수술가유효유지혈류동역학은정，감소소성기조동급동통적발생。
Objective To investigate application effect of general anesthesia combined with bilateral superficial cervical plexus block in thyroid surgery. Methods Eighty patients undergoing thyroid gland operation were divided randomly in-to general anesthesia general anesthesia combined with bilateral superficial cervical plexus block group (group A)and general anesthesia group(group B),40 cases in each group.The general anesthesia with 1% lidocaine+0.25% ropivacaine bilateral neck shallow plexus anesthesia were used in group A,and conventional general anesthesia was applied in group B.MAP and HR during recovery before and after anesthesia induction,at cutting skin,at 30 min after operation and the time of incision suture were recorded.The incidence rate of nausea and vomiting,restlessness and pain in two groups were recorded. Results Operation time of two groups was compared,with no statistical difference (P>0.05).MAP and HR at cutting skin,at 30 min after operation and the time of incision suture in group B was higher than that before and after anesthesia induction and group A respectively (P<0.05).The incidence rate of nausea and vomiting in two groups was compared,with no statistical difference (P>0.05).The incidence rate of restlessness and pain in group B was higher than that in group A respectively,with statistical difference (P<0.05). Conclusion General anesthesia combined with bilateral superficial cervical plexus block applied in thyroid surgery can effectively maintain hemodynamic stabili-ty,reduce the incidence of agitation and pain in anesthesia awakening period.
