胸椎旁神经阻滞复合右美托咪啶在胸腔镜手术的应用  

Application of thoracic paravertebral nerve block combined with dexmedetomidine in thoracoscopic surgery

作　　者：刘振华[1] 王丹[1] 陈以建[1] 刘珺[1] 黄桂明[1] 周文[1] 

机构地区：[1]赣州市人民医院麻醉科,江西赣州341000

出　　处：《安徽卫生职业技术学院学报》2017年第5期42-43,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:观察胸椎旁神经阻滞复合右美托咪啶在胸腔镜手术的效果。方法:选择胸腔镜手术患者30例,分为A、B两组,记录两组不同时点生命体征、氧分压、二氧化碳分压;全麻药用量;全麻并发症;VAS评分Ramsay镇静评分。结果:B组在T2~T4时点的RR大于A组,MAP、HR低于A组(P<0.05);全麻药用量、全麻并发症低于A组(P<0.05);VAS评分低于A组、Ramsay镇静评分高于A组(P<0.05)。结论:超声联合神经刺激仪引导胸椎旁神经阻滞复合右美托咪啶用于胸腔镜手术,对患者自主呼吸影响小,血流动力学更稳定,全麻药用量减少,并发症少,苏醒快,镇痛效果确切。Objective：To observe the effect of thoracic paravertebral nerve block combined with dexmedetomidine in thoracoscopic surgery. Methods： Thirty patients undergoing thoracoscopic surgery were divided into A and B groups. The vital signs, oxygen partial pressure, carbon dioxide partial pressure, total anesthetic dose, general anesthesia complication, VAS score, Ramsay sedation score were recorded. Results：The risk of general anesthesia and general anesthesia was lower than that of group A（P〈0.05）. The VAS score was lower than that of group A（P〈0.05） Group, Ramsay sedation score was higher than group A（P〈0.05）.Conclusion： Ultrasound combined with nerve stimulation instrument to guide the thoracic paravertebral nerve block compound dextromethorphan for thoracoscopic surgery, the impact of spontaneous breathing in patients with small, more stable hemodynamics, total anesthetic dosage decreased, less complications, analgesic effect is desirable.

关 键 词：超声联合神经刺激仪 胸椎旁神经阻滞 右美托咪啶 非气管插管 胸腔镜 

分 类 号：R614[医药卫生—麻醉学]