颈丛麻醉复合舒芬太尼在甲状腺手术中的应用-论文.pdf

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1、·804·临床外科杂志2013年10月第21卷第1O期JClinSurg，October2013⋯Vo1．21，．论著·颈丛麻醉复合舒芬太尼在甲状腺手术中的应用齐绍鸿南润玲曹怀宇[摘要]目的对比单纯颈丛阻滞麻醉和双侧颈丛阻滞复合舒芬太尼两种麻醉方式在甲状腺手术中的效果。方法甲状腺手术患者130例，将其随机分为观察组和对照组各65例，对照组仅采用双侧颈丛阻滞麻醉，观察组在对照组麻醉的基础上静脉注射舒芬太尼0．1g／kg。观察麻醉满意度，分别记录阻滞前和阻滞后的收缩压(SBP)、舒张压(DBP)、心率(HR)、血氧饱和度(Sp

2、0：)的变化。结果两组患者麻醉前SBP、DBP、HR以及SpO，差异均无统计学意义(P>0．05)；麻醉后两组SBP、DBP、HR相比差异均有统计学意义(P<0．05)；麻醉前、后SpO的变化两组间差异无统计学意义(P>0．05)；麻醉效果上两组差异有统计学意义(P<0。05)；术中并发症声音嘶哑及呼吸困难的出现率两组间比较，观察组明显低于对照组(P<0．05)。结论颈丛麻醉复合舒芬太尼用于甲状腺疾病手术，患者满意度高，且不良反应轻微，值得临床推广应用。[关键词]颈丛麻醉；舒芬太尼；甲状腺手术[中图分类号]R614[文献标

3、识码]A[D0I]10．3969／j．issn．1005-6483．2013．10．028ApplicationofcervicalplexusanesthesiacombinedwithsufentanilinthyroidsurgeryQ1Shao—hong，NANRun—ling，CAOHuai—yu．(DepartmentofAnesthesiology，the251stHospitalofPL4，Hebei075000，China)[Abstract]0bjectiveTocomparetheeffectiven

4、essofsimplecervicalplexusanesthesiaandbi—lateralcervicalplexusanesthesiacombinedwithsufentanilinthyroidsurgery．MethodsOnehundredthirtycasesofthyroidsurgerieswereenrolledandrandomlydividedintotheobservationgroupandthecon—trolgroup，65casesineach．Thecontrolgrouponlyr

5、eceivedbilateralcervicalplexusblock．Onthebasisofanesthesiainthecontrolgroup，intravenoussufentanil(0．1g／kg)wasinjectedfortheobservationgroup．Thesystolicbloodpressure(SBP)，diastolicbloodpressure(DBP)，heartrate(HR)andbloodoxygensatu—ration(SpO，)changewereobservedfort

6、heevaluationofanesthesia．ResultsTheSBP，DBP，HR，andSpO2werenotsignificantlydifferentbetweenthetwogroupsbeforeanesthesia(P>0．05)；thechangesofSBP，DBPandHRafteranesthesiaweresignificantlydifferent(P<0．05)；thepost—anaestheticSpO2changesbetweenthetwogroupsshowednosignifi

7、cantlydifference(P>0．05)；theanestheticeffectsbe—tweenthetwogroupsweresignificantlydifferent(P<0．05)；theoccu~encerateofintraoperativeeompli—cations，suchashoarsenessanddyspneawaslowerintheobservationgroupcomparedwiththatinthecon—trolgroup(P<0．05)．ConclusionTheapplic

8、ationofcervicalplexusanesthesiacombinedwithsufen—tanilinthyroidsurgeryissatisfactoryforthepatientsandtheadversereactionsaremild，whichisworthyofspreading