全麻和颈丛神经阻滞麻醉在甲状腺次全切除术中的比较

Comparison of general anesthesia and cervical plexus block anesthesia in subtotal thyroidectomy

目的 观察两种不同的麻醉方法用于甲状腺次全切除术中,对呼吸循环功能的影响以及并发症的发生率.方法 选择甲状腺次全切除患者120例,ASAⅠ～Ⅱ级,随机分为两组.A组采用气管插管静脉复合麻醉;B组采用颈丛神经阻滞麻醉.术中连续监测平均动脉血压(MAP)、心率(HR)和脉搏氧饱和度(SpO2),分别于麻醉前,游离甲状腺时及术终测血糖浓度,并评价麻醉效果. 结果 B组在游离甲状腺时,MAP、HR均明显升高,A组患者麻醉后MAP、HR相对平稳,两组比较差异有统计学意义.两组患者术中血糖水平与术前相比均增高(P<0.05),但A组升高幅度低于B组(P<0.05),A、B两组间比较差异无统计学意义(P>0.05),A组麻醉效果(优良率100%)好于B组(优良率75%).结论 气管插管静脉复合麻醉用于甲状腺次全切除术具有安全、麻醉效果确切、术中血流动力学平稳等优点.

Objective To observe the effects of two different methods of anesthesia used in the subtotal thyroidectomy on the respiratory and circulatory function, as well as the incidence of complications. Methods Subtotal thyroidectomy patients 120 cases, ASA Ⅰ-Ⅱ, were randomly divided into two groups. Group A of tracheal intubation using intravenous anesthesia; B group use cervical plexus block anesthesia. Intraoperative continuous monitoring of MAP, HR, and SpO2 respectively, before anesthesia, free thyroid surgery during and final test blood glucose levels and to evaluate the anesthetic effect. Results Group B when the free thyroid, MAP, HR was significantly higher, group A of patients after anesthesia MAP, HR is relatively stable, the difference was statistically significant. In group B patients compared with the preoperative blood glucose levels were significantly higher (P<0.05), but the increasing range of group A were lower than group B (P<0.05), the difference between the two groups was not statistically significant (P>0.05), narcotic effect of group A(excellent and good rate of 100%) was better than that in group B (excellent and good rate of 75%). Conclusions Tracheal intubation intravenous anesthesia for thyroid subtotal resection is safe, the effect of anesthesia is effective, intraoperative hemodynamic is stable, etc.