颈丛+全麻在甲状腺手术中的应用
王明霞
【期刊名称】《医学信息》 【年(卷),期】2014(000)007
【摘要】Objective: To observe the clinical ef ect of cervical plexus + anesthesia for thyroid operation. Methods: 46 cases of thyroid tumor resection were randomly divided into cervical plexus + general anesthesia group (group A) and 23 cases of general anesthesia group (group B) 23 cases, the two groups were observed before operation, at skin incision, excision of tumor time and extubation MAP, HR, awake extubation time. Results: among the two groups before operation and MAP before and after induction, HR no significant dif erence. But in the beginning and separation of thyroid operation MAP, HR had significant dif erence (P<0.05) in group.B, skin incision, resection of the tumor and extubation MAP and HR significantly higher than those in A group (P<0.05); B group of dosage of drugs were more than that of A group, postoperative spontaneous breathing recovery and extubation time in A group was significantly shorter than that of group B (P<0.05). Conclusion: thyroid operation choice of cervical plexus + general anesthesia, hemodynamic stability, in the perioperative stress response light, quick recovery after operation early extubation, and reduces postoperative pain.%目的：观察颈丛+全麻用于甲状腺手术的临床效果。方
法46例甲状腺瘤切除术患者随机分为颈丛+全麻组(A组)23例和全麻组(B组)23例，观察两组患者术前、切皮时、切除瘤体时和拔管时的MAP、HR、清醒拔管时间。结果两组间术前及诱导前后MAP、HR无明显差异．但在手术开始和分离甲状腺时 MAP、HR差异显著(P<0．05)．B组在切皮、切除瘤体和拔管时MAP和HR明显高于A组(P<0．05)；B组的全麻药用量明显多于 A组，术毕自主呼吸恢复和拔管时间 A组明显较 B组缩短（P<0.05）。结论甲状腺手术选择颈丛+全麻，在术中血流动力学稳定、应激反应轻、术毕清醒快拔管早，并可减轻术后疼痛。 【总页数】2页(124-124,125) 【关键词】颈丛+全麻;甲状腺手术 【作者】王明霞
【作者单位】湖北省十堰市武当山旅游经济特区医院，湖北 十堰 442714 【正文语种】中文 【中图分类】 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_medical-information_thesis/0201252356279.html 【相关文献】
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颈丛+全麻在甲状腺手术中的应用
