超声介导双侧颈丛阻滞在甲状腺手术中的应用  

Ultrasound-guided cervical plexus block in thyroidectomy

作　　者：向强[1] 李汉萍[2] 黄军[1] 王作俊[1] 王力甚[1] 梅祖胜[1] 龚兰[1] 易春华[1] 

机构地区：[1]华中科技大学同济医学院附属荆州医院麻醉科,湖北荆州434020 [2]华中科技大学同济医学院附属荆州医院特检科,湖北荆州434020

出　　处：《中国医学影像技术》2004年第12期1921-1923,共3页Chinese Journal of Medical Imaging Technology

基　　金：本课题受湖北省科技厅重点攻关计划资助(2 0 0 4AA30 4B0 8)。

摘　　要：目的　评价超声介导双侧颈丛阻滞在甲状腺手术中的临床应用价值。方法　择期行甲状腺手术病人 40例 ,ASAⅠ～Ⅱ级 ,随机分为超声介导颈丛阻滞麻醉组 (A组 )和普通颈丛阻滞麻醉组 (B组 ) ,A组在B超监测下、B组以盲穿法行C4一点法双侧颈深丛阻滞 ,以视觉模拟评分法 (VAS)评价两组麻醉效果 ,记录两组患者的麻醉并发症。结果　A组患者麻醉效果明显优于B组 (P <0 .0 5 ) ,且麻醉并发症发生率明显降低。结论　超声介导应用于颈丛阻滞麻醉可以改善麻醉效果 ,减少麻醉并发症。Objective To investigate the clinincal value of ultrasound guided cervical plexus block in thyroidectomy. Methods Fourty patients with thyroid diseases were randomly divided into two groups before thyroidectomy. Patients of group A ( n =20) were anesthetized by B mode ultrasound guided cervical plexus block, of group B ( n =20)were anesthetized by traditional cervical plexus block. The anesthetizing effects of the two groups were evaluated by visual analogue scale (VAS), and the side effects of the anesthesia were recorded. Results The VAS scores of group A were significantly lower than those of group B after anesthesia ( P <0.05), and the side effects of anesthesia in group A were lower than those of group B. Conclusion Ultrasound guided cervical plexus block bears both satisfactory anesthesia and lower side effects in thyroidectomy.

关 键 词：超声 介入性 颈丛神经 甲状腺切除术 

分 类 号：R445.1[医药卫生—影像医学与核医学] R653[医药卫生—诊断学]