摘要
目的:观察颈丛麻醉联合芬太尼微量泵输注对甲状腺手术中病人循环功能的影响。方法:选择40例行单侧甲状腺腺叶切除的手术病人,采用颈丛神经阻滞麻醉。随机分为两组,对照组输入生理盐水,实验组利用微量泵输注芬太尼,两组患者均记录手术切皮前(T1)、麻醉后10分钟(T2)、麻醉后20分钟(T3)和麻醉后40分钟(T4)的心率(HR)、收缩压(SBP)、舒张压(DBP)、呼吸频率(RR)、血氧饱和度(SpO2)的变化。结果:芬太尼组术中应激反应较对照组小,HR、SBP、DBP基本保持稳定,与对照组在麻醉后T2、T3、T4时相比,HR、SBP、DBP有显著差异(P<0.01),RR、SpO2两组比较差异无显著性(P>0.05)。结论:在甲状腺手术中应用微量泵输注芬太尼的方法既能明显减轻心血管反应又无呼吸抑制,避免了芬太尼的不良反应,是一种值得临床推广的麻醉方法。
Objective：To observe the effect of cervical plexus anesthesia combined with fentaini micro-dosage pump infusion on the circulatory function in patients during thyroid operation. Methods：40 patients determined to perform unilateral thyroid operation by cervical plexus block anesthesia were divided into control group and experiment group at random. The experiment group was infused with fentaini micro-dosage pump,while the control group with normal saline. The changes of heart rate（HR）,systolic pressure （SBP）,diastolic prvssure（DBP）,respiratory rate （RR）,oxygen saturation of blood （SpO2） in both groups before skin incision（T1） and 10 min（T2）,20 rain（T3） and 40 min（T4） after anesthesia were recorded respectively. Results：The stress reaction in the experiment group during the operation was less than that in the control group,HR,SBP and DBP kept stability essentially,HR,SBP and DBPin the experiment group in T2,T3 and T4 had significant difference from thos in the control group（P〈0.01）,but the difference in RR and SpO2 between two groups was not significant （P〉0.05）. Conclusion：Using fentaini micro-dosage pump infusion for the thyroid operation not only can obviously relieve Cardiovascular response but also keep respiratory normal and avoid the adverse reaction of fentaini,as a method of：anesthesia,it is worthy Of promotion in clinic .
出处
《现代医药卫生》
2006年第7期959-961,共3页
Journal of Modern Medicine & Health
