CAJ | 학술논문

目的：通过对颈浅丛麻醉使用瑞芬太尼联合盐酸右美托咪定和瑞芬太尼联合丙泊酚用于甲状腺手术的麻醉效果，对比两者对患者呼吸功能的影响。方法：收治 ASA 分级Ⅰ～Ⅱ需进行甲状腺手术的患者120例，随机分为两组，各60例。结果：试验组在用药前和输注药物之后与对照组的呼吸频率差异无统计学意义(P 值分别为0.172和0.273)；而用药后10 min、20 min和30 min 3个时间点，试验组的呼吸频率明显高于对照组(P值依次为0.006、0.027和0.020)；试验组在用药前和输注药物之后与对照组的SPO2差异无统计学意义(P值分别为0.831和0.178)；而用药后10 min、20 min和30 min 3个时间点，试验组的SPO2明显高于对照组(P值依次为0.019、0.013和0.037)。结论：对颈浅丛麻醉下行甲状腺手术的患者来说，采用瑞芬太尼联合盐酸右美托咪定的麻醉药物较瑞芬太尼联合丙泊酚的麻醉效果更好，患者的呼吸功能更稳定。
목적：통과대경천총마취사용서분태니연합염산우미탁미정화서분태니연합병박분용우갑상선수술적마취효과，대비량자대환자호흡공능적영향。방법：수치 ASA 분급Ⅰ～Ⅱ수진행갑상선수술적환자120례，수궤분위량조，각60례。결과：시험조재용약전화수주약물지후여대조조적호흡빈솔차이무통계학의의(P 치분별위0.172화0.273)；이용약후10 min、20 min화30 min 3개시간점，시험조적호흡빈솔명현고우대조조(P치의차위0.006、0.027화0.020)；시험조재용약전화수주약물지후여대조조적SPO2차이무통계학의의(P치분별위0.831화0.178)；이용약후10 min、20 min화30 min 3개시간점，시험조적SPO2명현고우대조조(P치의차위0.019、0.013화0.037)。결론：대경천총마취하행갑상선수술적환자래설，채용서분태니연합염산우미탁미정적마취약물교서분태니연합병박분적마취효과경호，환자적호흡공능경은정。
Objective:Through the use of superficial cervical plexus anesthetic remifentanil dexmedetomidine hydrochloride and remifentanil combined with propofol anesthesia for thyroid surgery,to compare to the impact of the patient's respiratory function. Methods:120 cases of ASA grade Ⅰ~Ⅱ patients in need of thyroid surgery were randomly divided into two groups with 60 cases in each.Results:There was no significant difference of the respiratory frequency before treatment and after the infusion drugs of both the study group and the control group(P values were 0.172 and 0.273,respectively).After the three time points of treatment 10min,20min and 30min,the respiratory rate of the study group was higher than that of the control group(P values were 0.006, 0.027 and 0.020).There was no significant difference of SPO2 before treatment and after the infusion drugs of both the study group and the control group(P values were 0.831 and 0.178,respectively).After the three time points of treatment 10min,20min and 30min,SPO2 of the study group was significant higher than that of the control group(P values were 0.019,0.013 and 0.037). Conclusion:For patients of superficial cervical plexus anesthesia thyroid surgery,the anesthesia effect of remifentanil combined with dexmedetomidine hydrochloride is better than remifentanil combined with propofol,which can make the respiratory function of patients more stable.