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《小剂量瑞芬太尼辅助颈从阻滞麻醉下甲状腺手术的临床观察.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、38·论著·July2015,Vo1.13,No.19小剂量瑞芬太尼辅助颈从阻滞麻醉下甲状腺手术的临床观察张国军李家强(昌乐县人民医院,山东潍坊262400)【摘要】目的分析并探讨小剂量瑞芬太尼用于辅助颈从阻滞麻醉下甲状腺手术中牵拉反应的效果和不良反应,并评价其临床价值。方法本次研究选取2012年4月至2013年3月来我院就诊并为择期甲状腺手术患者5O例,手术采用1%利多卡因+O.45%罗哌卡因行双侧颈从麻醉后随机分为AB两组。A组为对照组,共有患者24例,采取静脉注射哌氟合剂2mL,并根据手术情况及患者反应适当增加I/3~1/2
2、;B组为实验组,采取微泵静脉推注瑞芬太尼0.5g/kg,持续3min,随后采取0.O5(kg·min)注射。手术过程中详细观察BP、HR的变化以及惠者的镇静情况,术后用VAS评分来说明术中牵拉的疼痛程度。结果与对照组相比,实验组织术中的BP、HR明显较为稳定3、94(2015)19-0038-02ClinicalObservationofSmalldoseRemifentanilAssistedCervicalAnesthesiaforThyroidectomyZHANGGuo-jun,LlJia—qiang(ChanglePeopleHospital,Weifang262400,Chin【Abstract]ObiectiveToanalysisandsmalldoseoffentanylusedforauxiliaryofrayleighneckfromblockanesthesiao4、fthyroidsurgerypullefectandadversereactionofthereaction,andevaluateitsclinicalvalue.MethodsThisstudyselectedinApril2012toMarch2013toOurhospitalandprovidenamesof50patientswiththyroidsurgery,surgerywith1%lidocaine+O.45%ROMPPlinebecauseafterbilateralneckfromanesthesiawer5、erandomlydividedintoABtwogroups:groupAasthecontrolgroup,withAtotalof24patientswith,takeintravenousPPfluorineagent2mL,andaccordingtotheoperationconditionsandreactioninpatientswithappropriateincrease1/3to1/2.AsexperimentalgroupB,adoptsthemicropumpintravenouspushrickfent6、anylinjection0.5Ixg/kg,for3min,thentakeO.05~g/(kg·min)injection.ThenobservethechangesofBPandHRindetailintheprocessofsurgeryandthepatient’Scalm,afterusingVASscoretoillustratethepaindegreeofintraoperativepul1.ResultsComparedwithcontrolgroup,experimentalgroupofBPandHRmar7、kedlymorestable(P8、nicaluse.[Keywords]Fentanyl;Neckfromblockanesthesia;Thyroidsurgery;Clinicalobservation一般来说,在颈从神经阻滞的情况下进行甲状腺手术常常会存在1.2方法:本次研究
3、94(2015)19-0038-02ClinicalObservationofSmalldoseRemifentanilAssistedCervicalAnesthesiaforThyroidectomyZHANGGuo-jun,LlJia—qiang(ChanglePeopleHospital,Weifang262400,Chin【Abstract]ObiectiveToanalysisandsmalldoseoffentanylusedforauxiliaryofrayleighneckfromblockanesthesiao
4、fthyroidsurgerypullefectandadversereactionofthereaction,andevaluateitsclinicalvalue.MethodsThisstudyselectedinApril2012toMarch2013toOurhospitalandprovidenamesof50patientswiththyroidsurgery,surgerywith1%lidocaine+O.45%ROMPPlinebecauseafterbilateralneckfromanesthesiawer
5、erandomlydividedintoABtwogroups:groupAasthecontrolgroup,withAtotalof24patientswith,takeintravenousPPfluorineagent2mL,andaccordingtotheoperationconditionsandreactioninpatientswithappropriateincrease1/3to1/2.AsexperimentalgroupB,adoptsthemicropumpintravenouspushrickfent
6、anylinjection0.5Ixg/kg,for3min,thentakeO.05~g/(kg·min)injection.ThenobservethechangesofBPandHRindetailintheprocessofsurgeryandthepatient’Scalm,afterusingVASscoretoillustratethepaindegreeofintraoperativepul1.ResultsComparedwithcontrolgroup,experimentalgroupofBPandHRmar
7、kedlymorestable(P8、nicaluse.[Keywords]Fentanyl;Neckfromblockanesthesia;Thyroidsurgery;Clinicalobservation一般来说,在颈从神经阻滞的情况下进行甲状腺手术常常会存在1.2方法:本次研究
8、nicaluse.[Keywords]Fentanyl;Neckfromblockanesthesia;Thyroidsurgery;Clinicalobservation一般来说,在颈从神经阻滞的情况下进行甲状腺手术常常会存在1.2方法:本次研究
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