健忘镇痛慢诱导用于颈椎前路手术的优势

Advantages of slow anesthesia induced by amnesia and analgesia for anterior cervical surgery

目的探讨健忘镇痛慢诱导用于颈椎前路手术的可行性和优势。方法将52例颈椎前路手术患者平均分为2组:A组行健忘镇痛慢诱导气管插管全麻,B组行快诱导气管插管全麻。分别记录患者气管插管过程中的呛咳反应、带气管插管患者耐管情况,随访患者术后对气管插管的印象。结果 A组和B组都顺利完成手术,A组患者插管不改变头位,在自身肌张力保护下插管,有效保护颈椎病变部位,且术后能很好耐受带管。B组插管时令专人保护颈椎,术后不能很好耐管,躁动19例,需用药耐管。结论健忘镇痛慢诱导气管插管全麻用于颈椎前路手术,在自身肌张力保护下插管,能有效保护颈椎病变部位,且术后能很好耐受气管插管。

Objective To investigate the feasibility and advantages of slow anesthesia induced by amnesia and analgesia for anterior cervical surgery.Methods A total of 52 patients receiving surgery of anterior cervical spine were averagely divided into groups A and B before operation.Patients of Group A developed slow anesthesia induced by amnesia and analgesia through endotracheal intubation,and those of group B underwent quick induction of anesthesia through tracheal intubation.The cough response during tracheal intubation and the tolerance of incubating conditions were recorded respectively.At the same time,the postoperative impression of tracheal intubation was followed up.Results Both group A and B had successful operation procedures.The patients in group A were intubated without changing the head positions;their own muscle tension effectively protected the cervical spine;and the patients were well tolerant to intubation after surgery.Whereas,the patients of group B had to have their cervical spine well-protected by others,and were not tolerant to intubation removal.In this group,19 cases had restlessness during intubation taking-off and drug had to be applied for intubation tolerance.Conclusion Slow anesthesia induced by amnesia and analgesia is a simple,convenient and practical approach for anterior cervical surgery,which can effectively protect the cervical spine and patients well tolerate intubation.