摘要
目的:探讨分析丙泊酚在颈丛麻醉甲状腺手术中减轻应激反应的应用价值。方法:选择2010年12月～2012年7月在我院接受颈丛麻醉甲状腺手术患者78例,将所有患者随机分成两组,对照组和观察组,每组各39例。对于对照组中的患者选择氟芬麻醉,对于观察组中的患者选择丙泊酚麻醉,对比两组患者在围术期皮质醇与血糖水平、平均动脉压(MAP)与血液流变学(HR)值变化。结果:两组患者手术过程中、手术完毕的皮质醇与血糖水平较麻醉前均大幅降低,但观察组患者改善情况显著优于对照组,两组之间的差异显著(P<0.05)具有统计学意义;MAP和HR两组患者麻醉前、麻醉后比较差异并不显著(P>0.05),但随着麻醉时间的推移可发现观察组的值略低于对照组。结论:丙泊酚减轻颈丛麻醉甲状腺手术中应激反应效果显著,对于手术的顺利完成具有十分重要的意义。
Objective： To investigate the effect of propofol in cervical plexus block anesthesia of thyroid operation in mitigating the stress re sponse value.Methods： from 2010 December ~2012 year in July in our hospital from anesthesia in patients with carotid thyroid operation in 78 cases,were randomly divided into two groups,control group and observation group,39 cases in each group.For the control group in the selection of patients with droperidol for anesthesia,were observed in the group of patients selected propofol anesthesia,compared two groups of patients in perioperative period of cortisol and blood glucose levels,mean arterial pressure（MAP）and blood rheology（HR）value change.Results： the two groups of patients in the process of operation,after operation of cortisol and blood glucose levels were significantly lower than those before anesthesia,but the patients in the observation group to improve the situation was better than the control group,the difference be tween the two groups was statistically significant（P0.05）;MAP and HR of two groups of patients before anesthesia,after anesthesia com pared the differences between the two groups is not significant（P0.05）,but with the anaesthetic time can be found in the observation group was slightly lower than that of control group.Conclusion： Propofol reduce cervical plexus anesthesia in operation of thyroid stress effect,for the successful operation has very important significance.
出处
《内蒙古中医药》
2013年第11期83-84,共2页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
颈丛麻醉甲状腺手术
丙泊酚
减轻应激反应
cervical plexus anesthesia in thyroid operation
Propofol
reduce stress response
