超声引导喉上神经内支阻滞对颅内肿瘤手术患者麻醉恢复质量的影响:回顾性研究  

Effect of ultrasound-guided internal branch of superior laryngeal nerve block on quality of anesthesia recovery in patients undergoing intracranial tumor surgery:a retrospective study

作　　者：成忠平 于凯丽 何欣 王若 苑亚静 尹毅青 Cheng Zhongping;Yu Kaili;He Xin;Wang Ruo;Yuan Yajing;Yin Yiqing(Department of Anesthesiology,Tianjin Medical University Cancer Institute&Hospital National Clinical Research Center for Cancer Tianjin′s Clinical Research Center for Cancer Key Laboratory of Cancer Prevention and Therapy,Tianjin 300060,China)

机构地区：[1]天津医科大学肿瘤医院麻醉科,国家恶性肿瘤临床医学研究中心,天津市恶性肿瘤临床研究中心,天津市肿瘤防治重点实验室,天津300060

出　　处：《中华麻醉学杂志》2024年第3期282-285,共4页Chinese Journal of Anesthesiology

基　　金：天津市医学重点学科(专科)建设项目(TJYXZDXK-009A);白求恩公益基金天津麻醉科研发展计划项目(TJMZ2023-010)。

摘　　要：目的评价超声引导喉上神经内支阻滞对颅内肿瘤手术患者麻醉恢复质量的影响。方法回顾性收集2022年11月至2023年10月行全麻颅内肿瘤手术患者的病历资料,性别不限,年龄18~65岁,BMI 18~28 kg/m2,根据麻醉方式分为超声引导喉上神经内支阻滞组(U组)和对照组(C组)。采用0.375%盐酸罗哌卡因2 ml行双侧喉上神经内支阻滞。收集气管拔管时间、苏醒时间、气管拔管后15 min内心血管事件发生情况、苏醒期躁动发生情况、Ramsay镇静评分、Steward苏醒评分、气管拔管后10 min时疼痛VAS评分和PACU期间咽喉痛和声音嘶哑发生情况。结果与C组相比较,U组苏醒期躁动发生率、Ramsay镇静评分、VAS评分和咽喉痛发生率降低,声音嘶哑发生率升高(P<0.05),气管拔管时间、苏醒时间和Steward苏醒评分差异无统计学意义(P>0.05)。2组均未见高血压、低血压、心动过速和心动过缓的发生。结论超声引导下喉上神经内支阻滞可提高颅内肿瘤手术患者麻醉恢复质量。Objective To evaluate the effect of ultrasound-guided internal branch of superior laryngeal nerve(ibSLN)block on the quality of anesthesia recovery in the patients undergoing intracranial tumor surgery.Methods The data from patients of either gender,aged 18-65 yr,with a body mass index of 18-28 kg/m2,who underwent intracranial tumor surgery from December 2022 to October 2023,were retrospectively collected.Patients were divided into control group(group C)and ultrasound-guided ibSLN block group(group U).Bilateral ibSLN block was performed with 0.375%ropivacaine hydrochloride 2 ml.The tracheal extubation time,emergence time,development of cardiovascular events within 15 min after extubation,emergence agitation,Ramsay sedation score,Steward recovery score,visual analogue scale scores at 10 min after extubation and development of postoperative sore throat and hoarseness in postanesthesia care unit were recorded.Results Compared with group C,the incidence of emergence agitation,Ramsay sedation score,visual analogue scale scores and sore throat were significantly decreased,the incidence of hoarseness was increased(P<0.05),and no significant change was found in the extubation time,emergence time and Steward recovery score in group U(P>0.05).No hypertension,hypotension,tachachycardia and bradycardia were found in two groups.Conclusions Ultrasound-guided ibSLN block can improve the quality of anesthesia recovery in the patients undergoing intracranial tumor surgery.

关 键 词：超声检查 神经传导阻滞 喉神经 脑肿瘤 麻醉恢复期 恢复质量 

分 类 号：R614[医药卫生—麻醉学] R739.41[医药卫生—外科学]