零肌松气管插管全麻用于甲状腺手术的研究  

Feasibility Study for Endotracheal Intubation without Muscle Relaxant in Thyroidectomy

作　　者：谭明韬 张玉柱[1] 孙小玲[1] 翟凤英[1] 

机构地区：[1]山东省淄博市中心医院麻醉科,山东淄博255036

出　　处：《中国医药指南》2011年第27期26-28,共3页Guide of China Medicine

摘　　要：目的评价甲状腺手术时零肌松气管插管全麻方案的可行性和安全性。方法选择60例择期甲状腺手术患者,采用气管插管全身麻醉方案,静脉靶控输注丙泊酚-瑞芬太尼维持麻醉,随机分为三组其中A组常规使用肌松药,B组单次给予肌松药,C组不使用肌松药。分别记录患者不同时间点的MAP、HR数值。评价插管条件,观察并记录清醒、拔管的时间,随访麻醉后不良事件的发生情况。结果所有患者均顺利完成手术,麻醉效果满意,不使用肌松药的患者苏醒更快,循环更稳定,麻醉后不良事件发生率比较无统计学差异。结论对于甲状腺手术而言,零肌松气管插管全身麻醉方案是切实可行的,值得在临床上推广使用。Objective To investigate the feasibility and security of endotracheal intubation without muscle relaxant in thyroidectomy.Methods 60 patients undergone thyroidectomy with general anesthesia were randomly divided into group A which were given muscle relaxant regularly,group B which just received muscle relaxant during anesthesia induction and group C without muscle relaxant.Target controlled infusion of propofol and remifentanil were respectively performed to maintain the depth of aneathesia.Evaluate the conditions of endotracheal intubation and memorize the changes of HR and MAP in different time points during operation.Record the recovery time and extubation time during awaken period and also track adverse events after operation.Results All patients received successful operation.The patients of group C recoverd more rapidly with more stable hemodynamics during operation than the other two groups.But there were no significant difference of adverse events incidence among the three groups after operation.Conclusions Endotracheal intubation without muscle relaxant is feasible and would be of great clinical value during thyroidectomy.

关 键 词：瑞芬太尼 甲状腺手术 全身麻醉 气管插管 零肌松 

分 类 号：R614[医药卫生—麻醉学]