摘要
目的:探讨0.375%罗哌卡因颈丛阻滞用于甲状腺手术的可行性及其效果的优越性。方法:选择0.375%罗哌卡因颈丛神经阻滞麻醉下的甲状腺一叶/全切除术患者480例,与1%利多卡因组(450例)相比较。评价术中麻醉效果和麻醉后对心率、血压变化的影响以及声嘶、呼吸困难并发症的比较。结果:罗帕卡因与利多卡因组麻醉效果差异无统计学意义。麻醉后罗哌卡因组发生心动过速(P=0.007)、血压升高(P=0.001)、声嘶(P=0.011)及呼吸困难(P=0.026)频率远远低于利多卡因组,差异具有统计学意义。结论:0.375%罗哌卡因用于甲状腺手术颈丛阻滞麻醉效果确切,安全、可行,对心率、血压的影响以及声嘶、呼吸困难并发症较1%利多卡因轻,在甲状腺手术颈丛阻滞麻醉中安全性更高。
Objective： To investigate the availability and effect superiority of ropivacaine 0.375% for thyroid operation.Methods： To compare the analgesic efficacy of ropivacaine 0.375%（480 cases） versus lidocaine 1%（450 cases） of patients with thyroid gland inferior or total excision surgery.The heart rate and the blood pressure changes,the hoarseness and dyspnea were evaluated after anesthesia.Results： There was no statistical significance between the ropivacaine 0.375% and lidocaine 1% for anesthesia effect.The frequencies of tachycardia（P = 0.007）,hypertension（P = 0.001）,hoarseness（P = 0.011） and dyspnea（P = 0.026） were lower after using ropivacaine 0.375% than lidocaine 1%.Conclusion： The effect of ropivacaine 0.375% in the block anesthesia of cervical plexus for thyroid operation is good,and it＇ s untoward effect on the heart rate and the blood pressure is slight.The ropivacaine 0.375% has more security and feasibility,and is a better choice of anesthetic for thyroid operation.
出处
《现代肿瘤医学》
CAS
2012年第10期2168-2169,共2页
Journal of Modern Oncology
关键词
罗哌卡因
利多卡因
颈丛阻滞
甲状腺手术
ropivacaine
lidocaine
block anesthesia of cervical plexus
thyroid operation
