摘要
目的探讨全麻复合罗哌卡因及芬太尼双侧颈浅丛阻滞对甲状腺肿瘤患者术后疼痛评分的影响。方法选取2019年4月至2019年7月间上海瑞金康复医院收治的择期行甲状腺癌根治术的160例患者为研究对象。采用全身麻醉的80例患者纳入对照组,采用全麻复合罗哌卡因及芬太尼双侧颈浅丛阻滞的80例患者纳入观察组,比较两组患者的围术期相关指标、疼痛评分及麻醉恢复情况。结果两组患者的手术时间和麻醉时间比较,差异无统计学意义(P>0.05)。术毕时,观察组平均动脉压(MBP)和心率(HR)水平均低于对照组,与切皮前相比均较稳定,差异均有统计学意义(均P<0.05)。观察组术毕、术后2h、术后6h和术后12h的疼痛评分均低于对照组,差异均有统计学意义(均P<0.05)。观察组睁眼时间、答问切题时间及拔管时间均短于对照组,差异均有统计学意义(均P<0.05)。结论全麻复合罗哌卡因及芬太尼双侧颈浅丛阻滞,可改善甲状腺患者术后疼痛,麻醉恢复情况较好,对患者MBP和HR影响较小,值得临床借鉴。
Objective To investigate the effect of general anesthesia combined with bilateral superficial cervical plexus block with ropivacaine and fentanyl on postoperative pain score in patients with thyroid tumors.Methods One hundred and sixty patients who underwent radical thyroidectomy at Shanghai Ruijin Rehabilitation Hospital from April 2019 to July 2019 were selected as the research subjects.Eighty patients receiving general anesthesia combined with bilateral superficial cervical plexus block with ropivacaine and fentanyl were included in an observation group and 80 patients receiving general anesthesia were included in a control group.Perioperative indicators,pain score and recovery from anesthesia were compared between the two groups.Results There was no statistically significant difference in the duration of operation and anesthesia between the two groups(P>0.05).The mean arterial pressure(MBP)and heart rate levels were lower in the observation group than in the control group at the end of the operation,and were more stable compared with those before skin resection(all P<0.05).The pain scores after surgery,2 h,6 h and 12 h after the surgery were significantly lower in the observation group than in the control group(all P<0.05).The time to eye opening,questions answering and extubation were significantly shorter in the observation group than in the control group(all P<0.05).Conclusion General anesthesia combined with bi-lateral superficial cervical plexus block with ropivacaine and fentanyl can significantly improve postoperative pain,and the recovery of anesthesia is good,with little impact on MBP and HR,which is worthy of clinical reference.
作者
陈颖
沈亮
CHEN Ying;SHEN Liang(Department of Anesthesiology,Shanghai Ruijin Rehabilitation Hospital,Shanghai 200011,China;Department of Anesthesiology,Luwan Campus,Ruijin Hospital Affiliated to Shanghai Jiaotong University Medical College,Shanghai 200020,China)
出处
《中国肿瘤临床与康复》
2020年第11期1305-1308,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
全麻
双侧颈浅丛阻滞
罗哌卡因
芬太尼
甲状腺肿瘤
术后疼痛
General anesthesia
Bilateral superficial cervical plexus block
Ropivacaine
Fentanyl
Thyroid neoplasms
Postoperative pain
