摘要
目的:探讨两种不同麻醉方法用于甲状腺功能亢进手术的安全性和可行性。方法:64例ASAⅠ～Ⅱ级甲亢患者择期行甲状腺次全切除术,其中颈丛阻滞(对照组)32例,全身麻醉气管插管(治疗组)32例。分别记录两组患者于麻醉前、麻醉后20min和术毕3个时刻的心率(HR)、平均动脉压(MAP)及围麻醉期并发症的发生率。结果:对照组患者在麻醉后20min其MAP、HR较麻醉前上升,术毕虽有下降但仍高于麻醉前。治疗组患者麻醉后上述参数稍有上升,但比较差异无统计学意义。两组并发症比较差异有统计学意义(P<0.05)。结论:全身麻醉气管插管用于甲亢患者行手术治疗具有呼吸循环干扰小,围麻醉期并发症少等优点,对于甲亢患者是一种较为理想的麻醉方法。
Objective To investigate the safety and feasibility of two kinds of different anesthesia for hyperthyroidism surgery.Methods 64 patients with ASA Ⅰ～Ⅱ levels in patients undergoing elective thyroid hyperthyroidism,subtotal hysterectomy, in which cervical plexus block （control group） 32 cases of tracheal intubation （treatment group） in 32 cases.two groups of patients were recorded before anesthesia,anesthesia and surgery 20 min after completion of three points in time heart rate （HR）,mean arterial pressure （MAP） and around the incidence of anesthesia complications.Results The patients in groups according to their after anesthesia 20 min MAP,HR increase than those before,of surgery has decreased but still higher than that before anesthesia.Treated patients increased slightly above parameters after anesthesia,but not statistically significant.The complication was no significant difference（P0.05）.Conclusion Tracheal intubation for surgical treatment of patients with hyperthyroidism little interference with breathing cycle,during anesthesia and fewer complications for patients with hyperthyroidism is an ideal method of anesthesia.
出处
《吉林医学》
CAS
2010年第21期3404-3405,共2页
Jilin Medical Journal
