喉上神经阻滞与气管表面麻醉在喉显微外科手术中的应用  

Application of Superior Laryngeal Nerve Block and Trachea Surface Anesthesia in Larynx Micro-surgery

作　　者：牛彦军[1] 李效薇 于广翠 

机构地区：[1]绥化市第一人民医院,黑龙江绥化152000

出　　处：《黑龙江医学》2004年第1期41-42,共2页Heilongjiang Medical Journal

摘　　要：目的　探讨喉上神经阻滞与气管表面麻醉在喉显微外科手术中的麻醉效果。方法　双侧喉上神经内侧支各注射 2 %利多卡因 3mL ,然后经环状气管膜穿刺注射 1%地卡因 2mL ,对照组采用静脉麻醉。结果　观察组麻醉效果佳 ,血压、心率平稳 ,与对照组比较 ,观察组病人清醒早。结论　喉上神经阻滞与气管表面麻醉在喉显微外科手术 ,是较安全、效果理想的麻醉方法。Objective To discuss the anesthesia effect of superior laryngeal nerve block (SLNB) and trachea surface anesthesia (TSA) in larynx micro-surgery. Methods 3ml of 2% lidocaine was injected on bilateral inner branches of superior laryngeal nerve and 2ml of 1% dicaine was injected on surface of trachea through cricthyroid membrane in test group. The venous anesthesia was used in control group. Results Bp and HR in test group were stable than those in control group. Conclusion The SLNB and TSA might be an ideal method in micro-surgery of larynx with safty and good effect.

关 键 词：麻醉学 喉上神经阻滞 气管表面麻醉 喉显微外科 外科手术 麻醉方法 

分 类 号：R614[医药卫生—麻醉学] R767.91[医药卫生—外科学]