0.2%罗哌卡因用于双侧颈丛神经阻滞的347例临床观察

Clinic Observation of Blocking Double Side Plexus of Nerves in the Neck

目的:评估0.2%罗哌卡因用于双侧颈丛神经阻滞的麻醉效果及安全性。方法:选择347例甲状腺肿物切除术病人,以0.2%罗哌卡因8ml^10m1,C4横突处给药阻滞颈深丛,退针至皮下后再给予0.2%罗哌卡因10ml,行颈浅丛阻滞,以同样方法阻滞对侧颈深、浅丛,观察术中麻醉效果及呼吸、循环的改变。结果:麻醉优良率为88.5%,声音嘶哑占5.1%,霍纳综合症占1.7%,与麻醉前比较,在麻醉后5分钟(T1),15分钟(T2),30分钟(T3),心率,收缩压,平均动脉压,舒张压均明显大于麻醉前(P<0.05)结论:0.2%罗哌卡因用于双侧颈丛神经阻滞麻醉效果满意,不良反应发生率低。

Objective： To evaluate the anaestesia effect and security of 0.2% lopicaine after blocking the double side plexus of nerves in the neck. Methods： 347 patients with thyroidectomy were observed, 0.2% lopicaine 8-10ml was injected into the transverse process of C4 to block the deep plexus of nerves in the neck, then move back the needle to the subcutaneous tissue, inject the another 0.2% loplcaine 10ml to block the shallow plexus of nerves in the neck, in the such way, to block the another side shallow and deep plexus of nerves in the neck, observe the anaesthesia effect, change of breath and ciculation. Results： Choiceness quotiety of anaesthesia is 88.5%, voice hoarseness was 5.1%, Homer＇s Syndrome was 1.7%; after anaesthesia 5 minutes（T1）, 15 minutes（T2） and 30 minutes（T3）, the rate of heart, systolic pressure, mean artemial pressure（MAP） and stretch pressue were significantly higher than those before anaesthesia（P〈0.05）. Conclusion： The anaesthesia effect of 0.2% lopicaine blocking the double side plexus of nerves in the neck was satisfactory, the bad reaction was lower.