摘要
目的:研究右美托咪定辅助颈神经丛阻滞行甲状腺手术的临床应用价值。方法将2012年8月~2013年8月在我院接受颈神经丛阻滞下甲状腺手术的患者纳入研究,根据术中麻醉维持方法不同分为给予右美托咪定微泵注射的观察组和给予异丙酚微泵注射的对照组,比较两组患者的术中生命体征的变化。结果手术中,观察组患者的收缩压(104.8±15.2)mmHg、舒张压(68.9±9.5)mmHg、心率(85.8±12.1)次/min水平均低于对照组,差异有统计学意义(P<0.05)。结论右美托咪定辅助颈神经丛阻滞行甲状腺手术有助于稳定生命体征,具有积极的临床应用价值。
Objective:To study the ef ects of dexmedetomidine assisted cervical plexus block for thyroid operation value in clinical application.Methods:the 2012 August-2013 year in August in our hospital during the acceptance into the cervical plexus block for thyroid operation patients,according to the maintenance of anesthesia were divided into given dexmedetomidine micro pump injection in observation group and control group given propofol micro pump injection,changes of vital signs of two groups of patients intraoperative.Results:the operation,the patients in observation group systolic blood pressure(104.8±15.2)mmHg,diastolic blood pressure(68.9±9.5)mmHg,heart rate(85.8±12.1)/min levels were lower than the control group,the dif erence was statistical y significant(P<0.05).Conclusion:Dexmedetomidine cervical plexus block for thyroid operation contributes to stable vital signs,has positive clinical application value.
作者
彭秀梅
PENG Xiu-mei(Guangdong Province Luoding City People's Hospital,Luoding Guangdong 527200,China)
关键词
甲状腺手术
颈神经丛麻醉
右美托咪定
Thyroid operation
Cervical plexus anesthesia
Dexmedetomidine