不同麻醉方法在支撑喉镜下声带息肉切除术中应用的比较  

Comparison of different anesthetic techniques in laryngoscope-supported resection of vocal fold polyp

作　　者：刘咏[1] 

机构地区：[1]广东医学院附属医院耳鼻咽喉科,广东湛江524001

出　　处：《临床和实验医学杂志》2007年第9期57-57,59,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的比较不同麻醉方法在支撑喉镜下声带息肉切除术中的麻醉效果,并探讨各自优缺点。方法将我院150例声带息肉患者患者随机分为硬膜外麻醉组、单纯全麻组和联合麻醉组,分别测定麻醉前、术中、术后去甲肾上腺素(NE)浓度和氧饱和度(SpO2)。结果三组的SpO2水平较麻醉前明显升高(P<0.05);联合麻醉组NE水平与麻醉前比较差异无统计学意义(P>0.05),与硬膜外麻醉、单纯全麻两组比较,差异有显著性(P<0.05)。结论联合麻醉用于支撑喉镜下声带息肉摘除术,是一种安全、经济、有效的麻醉方法,可广泛应用于临床。Objective To compare the effect and discuss the advantages and disadvantages of different anesthetic techniques in laryngoscope - supported resection of vocal fold polyp. Methods One hundred and fifty patients with vocal polyps were randomly divided into epidural anesthesia group, simply anesthesia group and joint anesthesia group. Norepinephrine （NE） concentrations and oxygen saturation （ SpO2 ） were measured in patients before anesthesia, during and after surgery. Results Compared with the level before anesthesia, SpO2 was significantly increased in all three groups after anesthesia （ P 〈 0.05 ） ; NE level was significantly changed in epidural anesthesia and simply anesthesia groups （ P 〈 0.05 ）, but not in joint anesthesia group （ P〉0.05 ）. Conclusion Joint anesthesia technique used in laryngoscope - supported resection of vocal fold polyp is safe, economic and effective. It can be widely used in clinical practice.

关 键 词：支撑喉镜 声带息肉 麻醉方法 

分 类 号：R614[医药卫生—麻醉学]