高位硬膜外麻醉在甲状腺手术中的临床应用  

The application of high segmental epidural anesthesia in thyroidectomy

作　　者：彭洪[1] 梁小虎[1] 王玲[1] 匡显发 漆招[1] 肖泽田 

机构地区：[1]萍乡市人民医院麻醉科,江西337055

出　　处：《安徽卫生职业技术学院学报》2008年第5期31-32,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨高位硬膜外麻醉的优越性和临床应用价值。方法:对100例甲状腺疾病分别采用颈丛神经阻滞麻醉和高位硬膜外麻醉进行手术,观察麻醉后术中血压、心率、呼吸等的影响。结果:高位硬膜外麻醉组与颈丛神经阻滞麻醉组的血压、心率比较差异有统计学意义(P<0.05),而呼吸功能比较差异无统计学意义(P>0.05)。结论:高位硬膜外麻醉下应用于甲状腺疾病的手术有以下特点:血压、心率影响小,出血量少,镇痛效果好,呼吸功能无明显影响。Objective： To investigate the advantages and clinical value of high segmental epidural anesthesia in thyroidectomy. Methods：100 patients undergoing thyroideetomy were randomly divided into cervical plexus block group （group C） and high segmental epidural anesthesia group （group E） in order to evaluate their effects on heart rate, systolic pressure and respiratory function respectively Results： The heart rate and systolic pressure of group E during operation was significantly different from group C （P〈0.05）.Whereas the respiratory function of two groups were of no significant difference（P〉0.05）. Conclusion： Compared to cervical plexus block, the application of high segmental epidural anesthesia in thyroidectomy has a variety of advantages including： small influence on blood pressure and heart rate, less bleeding, perfect analgesic effect and low influence on respiratory function.

关 键 词：高位硬膜外麻醉 甲状腺疾病 手术 

分 类 号：R653[医药卫生—外科学]