瑞芬太尼微量泵输注辅助颈丛阻滞麻醉在甲状腺手术中的效果观察

Effect of micro-pump infusion of remifentanil assisted cervical plexus block anesthesia in thyroid surgery

目的 观察瑞芬太尼微量泵输注辅助颈丛阻滞麻醉在甲状腺手术中的效果.方法 60例ASAⅠ～Ⅱ级的择期甲状腺手术患者随机分为观察组（颈丛阻滞＋瑞芬太尼微量泵输注组）和对照组（颈丛阻滞＋苏芬太尼组）,每组30例.监测两组患者麻醉前、颈丛阻滞后10 min以及手术开始后10、30、60 min的心率（HR）、平均动脉压（MAP）、呼吸（RR）、脉搏氧饱和度（SpO2）,并记录呼吸抑制、恶心呕吐等不良反应发生情况.结果 两组均获得满意的镇痛镇静效果,无不良反应发生;两组间比较HR、MAP、RR及SpO2差异均无统计学意义（F=0.45、0.64、2.78和1.94,均P〉0.05）,各时间点间比较HR、MAP差异有统计学意义（F=5.67、1.36,均P〈0.05）,而RR和SpO2差异无统计学意义（F=3.61、4.35,均P〉0.05）.结论 瑞芬太尼微量泵辅助颈丛阻滞用于甲状腺手术安全有效,镇痛良好,呼吸抑制少,值得推广应用.

Objective To observe the effect of micro-pump infusion of remifontanil-assisted cervical plexus block in thyroid surgery.Methods 60 patients with ASA Ⅰ～Ⅱ grade elective thyroid surgery were randomly divid-ed into two groups：experimental group（cervical plexus block＋remifentanil infusion micro-pump group） and control group（cervical plexus block ＋ Shu Fen Tai Nigeria group） 30 cases.Monitoring two groups of patients before anes-thesia,10 min after cervical plexus block,as well as surgery 10,30,60 min after the start of the heart rate（HR）,mean arterial pressure（MAP）,respiratory rate（RR）,pulse oxygen saturation（SpO2）,and the respiratory depression,nausea and vomiting,and other adverse reactions were observed.Results The two groups were satisfactory analgesia and se-dation effects,no advexse reactions occur;Between the two groups HR,MAP,RR,and SpO2 there was no significant difference（F=0.45,0.64,2.78 and 1.94,all P〉0.05）and,time-point comparison between HR,MAP difference was statistically significant（F=5.67,1.36,all P〉0.05）,while the RR and SpO2（F=3.61,4.35,all P〈0.05）were not different.Conclusion Remifentanil micro-pump-assisted cervical plexus block for thyroid surgery was safe,effective and good analgesia,less respiratory depression,and it was,worthy of popularization.