颈浅丛神经阻滞复合右美托咪定与全身麻醉在甲状旁腺切除中的效果比较  

Comparison of the Efficacy of Superficial Cervical Plexus Nerve Block Combined with Dexmedetomidine and General Anesthesia in Parathyroidectomy

作　　者：叶园园 周威[1] 梁楠[1] YE Yuan-yuan;ZHOU Wei;LIANG Nan(Nanyang Central Hospital,Henan Nanyang 473000)

机构地区：[1]南阳市中心医院,河南南阳473000

出　　处：《深圳中西医结合杂志》2022年第11期110-113,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:比较颈浅丛神经阻滞复合右美托咪定与全身麻醉在甲状旁腺切除术中的效果。方法:选取南阳市中心医院2020年12月至2021年12月期间74例接受甲状旁腺切除术治疗的患者,应用电脑随机法分为对照组与观察组,每组37例。治疗过程中予以对照组全身麻醉,予以观察组颈浅丛神经阻滞复合右美托咪定麻醉,比较两组患者生命体征变化情况、麻醉效果、动脉血气指标、镇静情况、不良反应情况。结果:观察组总有效率97.30%,高于对照组的83.78%,差异具有统计学意义(P<0.05);两组术后30 min心率高于术后5 min,舒张压、收缩压均低于术后5 min,且观察组术后30 min心率、舒张压、收缩压均低于对照组,差异具有统计学意义(P<0.05);观察组切皮时、腺体分离时、缝合切口时评分均低于对照组,差异具有统计学意义(P<0.05);观察组术后动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))均低于对照组,动脉血氧饱和度(SaO_(2))高于对照组,差异具有统计学意义(P<0.05);观察组不良反应发生率2.70%,低于对照组的16.22%,差异具有统计学意义(P<0.05)。结论:在甲状旁腺切除术中应用颈浅丛神经阻滞复合右美托咪定的效果明显优于全身麻醉,可稳定动脉血气指标,且不良反应发生率较低。Objective To compare the efficacy of superficial cervical plexus nerve block combined with dexmedetomidine and general anesthesia in parathyroidectomy.Methods 74 patients who underwent parathyroidectomy in Nanyang Central Hospital from December 2020 to December 2021 were randomly divided into a control group and an observation group by computer method,with 37 patients in each group.During the treatment,the control group was given general anesthesia,and the observation group was given superficial cervical plexus block combined with dexmedetomidine anesthesia.The changes of vital signs,anesthesia effect,arterial blood gas indexes,sedation and adverse reactions of patients in the two groups were compared.Results The total effective rate of the observation group was 97.30%,which was higher than 83.78% of the control group,and the difference was statistically significant(P<0.05).The heart rate 30 min after surgery in both groups was higher than that 5 min after surgery,and the diastolic blood pressure and systolic blood pressure in both groups were lower than those 5 min after surgery,and the heart rate,diastolic blood pressure and systolic blood pressure in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The scores of skin resection,gland separation and incision suture in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The arterial partial pressure of oxygen(PaO_(2))and arterial partial pressure of carbon dioxide(PaCO_(2))in the observation group were lower than those in the control group,and the arterial oxygen saturation(SaO_(2))was higher than that in the control group,with statistical significance(P<0.05).The incidence of adverse reactions in the observation group was 2.70%,lower than 16.22% in the control group,and the difference was statistically significants(P<0.05).Conclusion The effect of superficial cervical plexus nerve block combined with dexmedetomidine in pa

关 键 词：甲状旁腺切除术 颈浅丛神经阻滞 右美托咪定 全身麻醉 

分 类 号：R581[医药卫生—内分泌]