不同辅助用药对甲状腺手术颈丛神经阻滞麻醉效果的作用分析  

Analysis of the Effect of Different Adjuvant Drugs on Cervical Plexus Block Anesthesia in Thyroid Surgery

作　　者：张睿 ZHANG Rui(Department of Anesthesiology,Zhongshan Hospital,Xiamen University,Xiamen,Fujian Province,361004 China)

机构地区：[1]厦门大学附属中山医院麻醉科,福建厦门361004

出　　处：《中外医疗》2020年第32期121-123,共3页China & Foreign Medical Treatment

摘　　要：目的探讨不同辅助用药对甲状腺手术颈丛神经阻滞麻醉效果的作用。方法方便选择该院于2019年8月—2020年1月收治的64例甲状腺手术患者,便利取样法分为研究组(32例,右美托咪定)与对照组(32例,咪达唑仑联合芬太尼)两组,均行颈丛神经阻滞麻醉。比较组间甲状腺手术患者的VAS评分、HR、Ramsay评分、MAP及不良事件。结果研究组甲状腺手术患者的不良事件的发生率(6.25%)、T3HR (67.48±4.28)次/min、T4HR (68.16±5.27)次/min、T5HR (71.47±5.72)次/min、T3MAP (81.72±6.39)mmHg,T4MAP (82.41±5.26)mmHg、T5MAP (91.48±5.62)mmHg、T3VAS评分(2.25±0.42)分、T4VAS评分(2.46±0.27)分、T5VAS评分(3.43±0.51)分,均较对照组低,差异有统计学意义(χ~2=5.379,t=12.718、14.307、4.904、12.592、13.298、8.110、9.179、15.759、6.919,P<0.05);其T3Ramsay评分(4.18±0.52)分、T4Ramsay评分(3.92±0.46)分、T5Ramsay评分(3.31±0.34)分,均较对照组高,差异有统计学意义(t=16.575、23.014、24.798,P<0.05)。结论右美托咪定有助于稳定甲状腺手术患者的生命体征,提高其安全性与镇静效果,值得使用。Objective To explore the effects of different adjuvant drugs on the anesthetic effect of cervical plexus block in thyroid surgery.Methods A total of 64 cases of thyroid surgery patients admitted to the hospital from August 2019 to January 2020 were selected and divided into study group(32 cases,dexmedetomidine)and control group(32 cases,midazolam combined with fentanyl)by convenient sampling method,and all of them underwent cervical plexus block anesthesia.VAS score,HR,Ramsay score,MAP and adverse events of patients undergoing thyroid surgery were compared between groups.Results The incidence of adverse events(6.25%),T3HR(67.48±4.28)times/min,T4HR(68.16±5.27)times/min,T5HR(71.47±5.72)times/min,T3MAP(81.72±6.39)mmHg,T4MAP(82.41±5.26)mmHg,T5MAP(91.48±5.62)mmHg,T3VAS score(2.25±0.42)points,T4VAS score(2.46±0.27)points,T5VAS score(3.43±0.51)points,all compared with the control group low,the difference was statistically significant(χ2=5.379,t=12.718,14.307,4.904,12.592,13.298,8.110,9.179,15.759,6.919,P<0.05);its T3Ramsay score(4.18±0.52)points,T4Ramsay score(3.92±0.46)points and T5Ramsay score(3.31±0.34)points are higher than the control group,the difference was statistically significant(t=16.575,23.014,24.798,P<0.05).Conclusion Dexmedetomidine is useful for stabilizing the vital signs of patients with thyroid surgery,improving its safety and sedative effect,and is worth using.

关 键 词：颈丛神经阻滞麻醉 甲状腺手术 咪达唑仑 右美托咪定 

分 类 号：R4[医药卫生—临床医学]