摘要
目的:观察穴位注射复合颈浅丛麻醉用于甲状腺腺瘤切除术的麻醉效果。方法:将90例甲状腺腺瘤需手术治疗的患者随机分为3组:A组30例,颈浅丛阻滞麻醉+穴位注射生理盐水组;B组30例,颈浅丛阻滞麻醉+静脉注射芬氟合剂组;C组30例,穴位注射芬氟合剂复合颈浅丛阻滞麻醉组。结果:患者疼痛情况比较,A组的VAS评分高于B组、C组(P<0.01);B组与C组VAS评分的差异无统计学意义(P>0.05)。B组与A组、C组比较,脉搏血氧饱和度B组低于A组和C组(P<0.05)。A组与B组、C组比较,A组血压、心率高于其它组(P<0.05)。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)。恶心呕吐B组高于A组和C组(P<0.05)。结论:穴位注射芬氟合剂复合颈浅丛阻滞麻醉用于甲状腺腺瘤切除术麻醉效果良好。
AIM： To study the effect of superficial cervical plexus block anesthesia together with acupuncture anesthesia, which was used for operation on thyroid ablation. METHODS： All 90 patients who accepted operation on thyroid gland were divided into 3 groups stochastically： the patients in group A were superficial cervical block anesthesia group together with acupuncture; group B were superficial cervical block anesthesia combined with intravenous injection fentanyl fluoride mixture; group C were superficial cervical Plexus block anesthesia together with acupuncture anesthesia. RESULTS：The patient ache situation comparison among group A, B and C： VAS score in group A was higher than group B and C （P〈0. 01） ; the VAS score dofferance between group B and C was not statistically sognificant （P 〈 0.05）. The incidence of respiratory depression in group B was the highest （P〈0.05）, the blood pressure and heart rate, group A were higher than group B, C （P 〈0.05）. The side effects such as the nerves paralysis case in three groups were not different （P 〉0.05）. The nausea and vomiting cases were different （P〈0.05）. CONCLUSION： Superficial cervical plexus block anesthesia together with acupuncture anesthesia to be applied in the operation thyroid are well reserved.
出处
《中国临床药理学与治疗学》
CAS
CSCD
2011年第7期827-830,共4页
Chinese Journal of Clinical Pharmacology and Therapeutics
关键词
颈浅丛阻滞麻醉
针刺麻醉
甲状腺手术
Superficial cervical plexus block
Compound acupuncture anesthesia
Thyroid ablation
