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时间:2020-05-02
《右美托咪定在甲状腺手术中的临床应用.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·18·中国现代医药杂志2014年7月第16卷第7期MMJCJul2014,Vo116,N0.7,右美托咪定在甲状腺手术中的临床应用于洋蔡坤王学平王少华王春波【摘要】目的观察右美托咪定复合颈浅丛麻醉用于甲状腺手术的麻醉效果。方法将120例甲状腺腺瘤需要手术治疗的患者随机分为3组,每组4O例:A组为颈浅丛阻滞麻醉组;B组为颈浅丛阻滞麻醉+静脉注射芬太尼组;C组为颈浅丛阻滞麻醉+静脉注射右美托咪定组。分别观察记录不同时点的平均动脉压、心率、脉搏血氧饱和度,视觉模拟评分(VAS)和警觉/镇静(OAA/S)评分,术后随访追踪观察并记录患者并发症情况。结果剥离甲状腺时C组的OAMS评分
2、明显低于术前(P<0.01),也低于A组(P<0.01)。A组的VAS评分高于B组、C组(P<0.01),B组的脉搏血氧饱和度低于A组和C组(P<0.05);C组的平均动脉压、心率最低(P<0.01),A组最高。3组比较,术后追踪观察出现喉返神经麻痹及膈神经麻痹病例数差异均无统计学意义(P>0.05)。B组的恶心呕吐高于A组和C组(P<0.01),A组高于C组(P<0.05)。结论静脉注射右美托咪定复合颈浅丛阻滞麻醉用于甲状腺腺瘤切除术麻醉效果较好。【关键词】颈浅丛阻滞麻醉右美托咪定甲状腺手术Clinicalapplicationofdexmedetomidineinthet
3、hyroidsurgeryYuYaag,CaiKun,WangXueping,eta1.QingdaoUniver-sityMedical如,Qi,-,g~266011【Abstract】ObjectiveToobservetheefectofsuperficialcervicalplexusblockanesthesiaconductedwithdexmedeto-midineanesthesiaonthyroidsurgery.MethodsAll120patientsacceptedthyroidsurgeryweredividedinto3groupsstochas—
4、tically:thepatientsingroupAacceptedsuperficialcervicalplexusblockanesthesia;groupBacceptedsuperficialcervicalplexusblockanesthesiacombinedwithintravenousinjectionfentanyl;groupCacceptedsuperficialcervicalplexusblockanes-thesiawithdexmedetomidineanesthesia.Observedthemeanarterialpressure,hea
5、rtratesaturationofpulseoximetry,VASandOAMSatdiferenttimepoint.Follow-upvisitshouldbepersistedtoobserveandrecordtheoccurrenceofcomplication.ResultsThe0AA/SofgroupCwaslowerthanpreoperationandgroupAwhenthethyroidglandwasstripped(P6、ThesaturationofpulseoximettryofgroupBwaslowerthanthatofgroupAandgroupC(P7、P>O.05).ThecaseofnauseaandvomitingofgroupBwaslargerthanthatofgroupAandgroupC(P
6、ThesaturationofpulseoximettryofgroupBwaslowerthanthatofgroupAandgroupC(P7、P>O.05).ThecaseofnauseaandvomitingofgroupBwaslargerthanthatofgroupAandgroupC(P
7、P>O.05).ThecaseofnauseaandvomitingofgroupBwaslargerthanthatofgroupAandgroupC(P
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