非气管内插管局部麻醉在胸腔镜交感神经切断术治疗多汗症患者中的应用效果  

Application effect of local anesthesia without endotracheal intubation in the treatment of hyperhidrosis by endoscopic thoracic sympathotomy

作　　者：张名文 朱美婷 梁涛 邓江波[1] 谭军源 范奕送 ZHANG Mingwen;ZHU Meiting;LIANG Tao;DENG Jiangbo;TAN Junyuan;FAN Yisong(Department of Neck and Thoracic Surgery,People's Hospital of Yingde City Guangdong Province,Guangdong Province,Yingde 513000,China)

机构地区：[1]广东省英德市人民医院颈胸外科,广东英德513000

出　　处：《中国当代医药》2025年第11期92-95,共4页China Modern Medicine

基　　金：广东省清远市社会发展领域自筹经费科技计划项目(2021-37-59)。

摘　　要：目的探讨非气管内插管局部麻醉在胸腔镜交感神经切断术(ETS)治疗多汗症患者中的应用效果。方法选取2021年1月至2024年5月广东省英德市人民医院收治的60例多汗症患者作为研究对象,采用随机数字表法分为对照组和观察组,每组30例。两组患者均行ETS治疗,对照组采用气管内插管全身麻醉,观察组采用非气管内插管局部麻醉。比较两组患者的术中指标、术后恢复指标、视觉模拟评分法(VAS)评分、治疗费用及并发症。结果观察组麻醉准备时间及总操作时间短于对照组,术后清醒时间、下床活动时间及住院时间短于对照组,治疗费用少于对照组,咽喉不适发生率低于对照组,差异有统计学意义(P<0.05);两组患者术中出血量及手术时间、VAS评分、代偿性多汗发生率比较,差异无统计学意义(P>0.05)。结论ETS治疗多汗症中采用非气管内插管局部麻醉能够缩短麻醉准备时间,缩短患者术后清醒时间、下床活动时间及住院时间,降低咽喉不适发生率,减少治疗费用。Objective To investigate the effect of local anesthesia without endotracheal intubation in the treatment of hyperhidrosis by endoscopic thoracic sympathotomy(ETS).Methods A total of 60 patients with hyperhidrosis admitted to People's Hospital of Yingde City Guangdong Province from January 2021 to May 2024 were selected as research objects,and they were divided into control group and observation group according to random number table method,with 30 cases in each group.Both groups received ETS treatment.The control group received general anesthesia with endotracheal intubation,and the observation group received local anesthesia without endotracheal intubation.The intraoperative indexes,postoperative recovery indexes,visual analogue scale(VAS)score,treatment cost and complications were compared between the two groups.Results The preparation time and total operation time of the observation group was shorter than that of the control group,the postoperative waking time,the time of getting out of bed and hospital stay was shorter than that of the control group,the treatment cost was less than that of the control group,and the incidence of throat discomfort was lower than that of the control group,the differences were statistically significant(P<0.05).There were no significant differences in intraoperative blood loss,operation time,VAS score and incidence of compensatory hyperhidrosis between the two groups(P>0.05).Conclusion The use of local anesthesia without endotracheal intubation in the treatment of hyperhidrosis with ETS can shorten the time of preparation for anesthesia,shorten the postoperative waking time,the time of getting out of bed and hospital stay,reduce the incidence of throat discomfort and the treatment cost.

关 键 词：多汗症 胸腔镜交感神经切断术 非气管内插管局部麻醉 气管内插管全身麻醉 并发症 

分 类 号：R655[医药卫生—外科学]