目的 总结颈浅丛阻滞复合静脉麻醉在腔镜甲状腺瘤切除术的临床效果.方法 60例经颈部腔镜甲状腺瘤切除术患者随机分成两组,每组30例.A组行双侧颈浅丛阻滞,15 min后复合静脉全麻;B组采用全凭静脉麻醉.麻醉维持用雷米芬太尼0.2μg·kg-1·min-1和丙泊酚泵注,维持听觉诱发电位指数(AAI)20～30.记录围麻醉期MAP、HR、AAI值及丙泊酚给药速率和均值、睁眼时间、气管拔管时间及回答问题切题的时间.术后观察镇痛情况和记录恶心、呕吐、寒战、体动等不良反应.结果 与B组相比,A组术中各时点的丙泊酚输注速率明显减慢(P<0.01).B组睁眼和拔管时间明显比A组长(P<0.05).A组术后镇痛效果明显优于B组(P<0.05).结论 颈浅丛阻滞复合静脉全麻是腔镜甲状腺切除术的良好麻醉选择.%Objective To summerize the outcomes of superficial cervical plexus block (SCPB) combined with intravenous anesthesia in patients undergoing endoscopic thyroidectomy. Methods Sixty patients undergoing endoscopic thyroidectomy were randomly divided into two groups with 30 cases each. SCPB was performed in group A and total intravenous anesthesia in group B. Anesthesia auditory evoked potential index(AAI, 20 to 30) in two groups. The MAP, HR, AAI value were monitored perianesthetically. The times of eye opening and extubation and postoperative incident of side effects were recorded. Results The amount of propofol used during operation was less,the time of eye opening was shorter, and the postoperative analgesia was better significantly in group A than those in group B (P<0. 05). Conclusion SCPB combined with intravenous anesthesia is a better choice of anesthesia for throidectomy under endoscopy.
展开▼
