摘要
目的探讨颈丛阻滞加浅全麻同用于甲状腺癌根治术的临床价值。（方法〕选择30例具有可比性的病例随机分成全麻组和颈丛浅全麻组，比较其手术开始前，切皮时，结扎甲状腺上极动脉前5分钟、结扎时、结扎后5分钟的血压心率值，用t检验进行统计学分析。同时观察手术结束至拔管时间，术毕清醒评分达1分所需时间及静脉麻醉药用量。结果颈丛加浅全麻组的血压心率变化与全麻组对照有显著性差异（P＜0．05），且术毕苏醒时间短，麻醉药用量少。〔结论）颈丛阻滞加浅全麻值得进一步用于甲状腺癌根治术。
Purpose To investigate the clincal value of light general anesthesia(LGA) with cervical nerve block(CNB) for radical cervical dissection in thyroid carcinoma patients. Method Thirty cases with thyroid carcinoma for radical cervical dissection wer divided randomized into 2groups, one with LGA and CNB, the other with GA alore. Patien's BP, HR were compared respectively before the operation,at the time of skin incision, 5 minus before and 5 minus after super thyroid artery being ligated. The results were analysed with t test. The time for the end of operation toPulling out the trachea tube, post recovery time and the dosage used were recorded. Results There are sighficant difference in BP and HRbetwee two groups (P<0.05). Conclusion Combined LGN and CNB given for radical cervical dissection in thyroid carciorma patients is of certainvalue.
关键词
颈丛阻滞
全身麻醉
甲状腺癌
根治术
Cervical nerve block General anesthesia Radical dissection for thyroid carcinoma
