颈丛阻滞麻醉联合针麻用于甲状腺手术的麻醉效果观察(1)
【摘要】 目的：观察颈丛阻滞麻醉联合针麻用于甲状腺手术的麻醉效果。方法：收集2010年1月-2015年12月于笔者所在医院行甲状腺手术的患者100例，根据其麻醉方式的不同分为A组、B组、C组，A组给予颈丛阻滞麻醉，B组给予针麻，C组给予颈丛阻滞麻醉联合针麻，比较三组患者的麻醉效果、生命体征及不良反应。结果：A组、C组的麻醉效果优于B组，差异有统计学意义(P<0.05)，A组、C组的麻醉效果比较差异无统计学意义(P>0.05)；A组患者的心率加快值、平均动脉压升高值较B组、C组明显，差异有统计学意义(P<0.05)，B组、C组心率加快值、平均动脉压升高值比较差异无统计学意义(P>0.05)，三组的呼吸频率比较差异无统计学意义(P>0.05)；三组患者的麻醉不良反应比较差异无统计学意义(P>0.05)。结论：对于甲状腺手术，颈丛阻滞麻醉可以减少患者的痛苦，而针麻可以减少患者生命体征的波动，两者联合应用效果较好。
【关键词】 颈丛阻滞麻醉； 针麻； 甲状腺手术； 麻醉效果
doi：10.14033/j.cnki.cfmr.2018.26.026 文献标识码 B 文章编号 1674-6805(2018)26-00-03
【Abstract】 Objective：To observe the anesthetic effect of cervical plexus block anesthesia combined with acupuncture for thyroid surgery.Method：A total of 100 patients undergoing thyroid surgery in our hospital from January 2010 to December 2015 were recruited and divided into group A，group B and group C according to their different anesthetic methods.Group A received cervical plexus block anesthesia.The group B was given acupuncture and group C was given cervical plexus block anesthesia combined with acupuncture.The anesthesia effect，vital signs and adverse reactions were compared among the three groups.Result：The anesthetic effect of group A and C were better than that of group B，The differences were statistically significant(P<0.05).There was no significant difference in the anesthetic effect between group A and group C(P>0.05).The acceleration of heart rate and the increase of mean arterial pressure were more significant in group A than group B and group C(P<0.05).There was no significant difference in the values of accelerated heart rate and mean arterial pressure in groups B and group C(P>0.05).There was no significant difference in the respiratory frequency between the three groups(P>0.05).There was no significant difference in the anesthetic response between the three groups(P>0.05).Conclusion：For thyroid surgery，cervical plexus block anesthesia can reduce the patient's pain，and acupuncture can reduce the fluctuation of patients' vital signs.The combination of the two has better effect.
【Key words】 Cervical plexus block anesthesia； Acupuncture； Thyroid surgery； Anesthesia effect
First-author’s address：Xiamen Tongan Minhai Hospital，Xiamen 361100，China
甲状腺是人体重要的内分泌腺体，主要功能是合成甲状腺激素，调节机体代谢。近年来，甲状腺疾病的发病率逐年升高，其中大部分需要手术治疗[1]。选择合适的麻醉方式既能减少患者的疼痛，也能减少生命体征的波动及不良反应的发生。本研究分别观察了颈丛阻滞麻醉、针麻及两者联合应用于甲状腺手术的麻醉效果，现报道如下。
1 资料与方法
1.1 一般资料
回顾性分析、收集2010年1月-2015年12月于笔者所在医院行甲状腺手术的患者100例，根据其麻醉方式的不同分为A组(30例)、B组(30例)、C组(40例)。A组给予颈丛阻滞麻醉，其中男3例，女27例，年龄21～57岁，平均(32.6±12.5)岁，甲状腺囊肿患者5例，单纯性甲状腺肿大患者2例，甲状腺瘤患23例；B组给予针麻，其中男2例，女28例，年龄21～55岁，平均(33.9±11.7)岁，甲状腺囊肿患者4例，单纯性甲状腺肿大患者4例，甲状腺瘤患22例；C组给予颈丛阻滞麻醉联合针麻，其中男5例，女35例，年龄20～55岁，平均(31.3±12.1)岁，甲状腺囊肿患者6例，单纯性甲状腺肿大患者3例，甲狀腺瘤患31例。两组患者的年龄、性别、疾病类型等一般资料比较差异无统计学意义(P>0.05)，具有可比性。本研究经笔者所在医院伦理委员会批准。所有患者均签署知情同意书，同意纳入研究。, 百拇医药(齐文健)
【关键词】 颈丛阻滞麻醉； 针麻； 甲状腺手术； 麻醉效果
doi：10.14033/j.cnki.cfmr.2018.26.026 文献标识码 B 文章编号 1674-6805(2018)26-00-03
【Abstract】 Objective：To observe the anesthetic effect of cervical plexus block anesthesia combined with acupuncture for thyroid surgery.Method：A total of 100 patients undergoing thyroid surgery in our hospital from January 2010 to December 2015 were recruited and divided into group A，group B and group C according to their different anesthetic methods.Group A received cervical plexus block anesthesia.The group B was given acupuncture and group C was given cervical plexus block anesthesia combined with acupuncture.The anesthesia effect，vital signs and adverse reactions were compared among the three groups.Result：The anesthetic effect of group A and C were better than that of group B，The differences were statistically significant(P<0.05).There was no significant difference in the anesthetic effect between group A and group C(P>0.05).The acceleration of heart rate and the increase of mean arterial pressure were more significant in group A than group B and group C(P<0.05).There was no significant difference in the values of accelerated heart rate and mean arterial pressure in groups B and group C(P>0.05).There was no significant difference in the respiratory frequency between the three groups(P>0.05).There was no significant difference in the anesthetic response between the three groups(P>0.05).Conclusion：For thyroid surgery，cervical plexus block anesthesia can reduce the patient's pain，and acupuncture can reduce the fluctuation of patients' vital signs.The combination of the two has better effect.
【Key words】 Cervical plexus block anesthesia； Acupuncture； Thyroid surgery； Anesthesia effect
First-author’s address：Xiamen Tongan Minhai Hospital，Xiamen 361100，China
甲状腺是人体重要的内分泌腺体，主要功能是合成甲状腺激素，调节机体代谢。近年来，甲状腺疾病的发病率逐年升高，其中大部分需要手术治疗[1]。选择合适的麻醉方式既能减少患者的疼痛，也能减少生命体征的波动及不良反应的发生。本研究分别观察了颈丛阻滞麻醉、针麻及两者联合应用于甲状腺手术的麻醉效果，现报道如下。
1 资料与方法
1.1 一般资料
回顾性分析、收集2010年1月-2015年12月于笔者所在医院行甲状腺手术的患者100例，根据其麻醉方式的不同分为A组(30例)、B组(30例)、C组(40例)。A组给予颈丛阻滞麻醉，其中男3例，女27例，年龄21～57岁，平均(32.6±12.5)岁，甲状腺囊肿患者5例，单纯性甲状腺肿大患者2例，甲状腺瘤患23例；B组给予针麻，其中男2例，女28例，年龄21～55岁，平均(33.9±11.7)岁，甲状腺囊肿患者4例，单纯性甲状腺肿大患者4例，甲状腺瘤患22例；C组给予颈丛阻滞麻醉联合针麻，其中男5例，女35例，年龄20～55岁，平均(31.3±12.1)岁，甲状腺囊肿患者6例，单纯性甲状腺肿大患者3例，甲狀腺瘤患31例。两组患者的年龄、性别、疾病类型等一般资料比较差异无统计学意义(P>0.05)，具有可比性。本研究经笔者所在医院伦理委员会批准。所有患者均签署知情同意书，同意纳入研究。, 百拇医药(齐文健)