摘要
目的 :观察全麻加颈丛阻滞用于复杂性甲状腺手术是否优于全麻。方法 :68例复杂性甲状腺手术分为全麻复合颈丛神经阻滞组 (A组 ) 4 2例和全麻组 (B组 ) 2 6例 ,观察两组患者术前、术中和术毕的血压、心率、血糖变化及清醒拔管时间。结果 :两组间术前血压、心率和血糖无明显差异 ,但在手术开始和分离甲状腺时血压、心率及术中血糖变化差异非常显著 (P<0 .0 1 )。A组在气管插管时的血压和心率较术前、术中和术毕明显升高 (P<0 .0 1 ) ;而 B组在气管插管时的血压和心率与术中比较无差异 ,但比术前和术毕明显升高 (P<0 .0 1 )。结论 :复杂性甲状腺手术选择全麻复合颈丛神经阻滞 ,在术中血流动力学稳定、减轻应激反应及缩短术毕清醒气管导管拔除时间等方面明显优于单纯全麻。
Objective: To i nvesti gate whether the effect of general anest hesia in combination with nerve bloc k of cervical plexus(group A) is sup erior to that of general anesthesia( group B)in complex thyroid operation Methods: A total of 68 pat ients underwent complex thyroid operation were divided into two groups:group A( n =4 2) and group B( n =26) Blood pressure, heart rate and blood sugar in two gr oups were observed pre ,intra and p ost operatively,and the waking time was also recorded Results: There were no obvious differences in blood pr essure,heart rate and blood sugar b etween two groups before operation H owever,blood pressure and heart rate were significantly higher in group B than those in group A at the time of skin incision and dissecting thyr oid( P <0 01),and so did the waking ti me and intraoperative blood sugar In group A,blood pressure and heart ra te during endotracheal intubation we re strikingly higher than those befo re ,during and after operation ( P <0 01) In group B,blood pressure a nd heart rate during endotracheal in tubation were notably higher than th ose before and after operation( P <0 0 1),but no obviously different from t hose intraoperatively( P >0 05) Co nclusion: Combination with genera l a nesthesia and nerve block of cervical pl exus is better than general anesthes ia alone in stabilizing hemodynamics, reducing stress and shortening wakin g time
出处
《广东医学院学报》
2001年第4期249-250,共2页
Journal of Guangdong Medical College
基金
广东医学院青年基金 (编号青 981 0 )
关键词
全身麻醉
颈丛
神经阻滞
甲状腺
general anesthe sia
cervical plexus
nerve block
thyroid
