颈丛神经阻滞120例不同麻醉效果比较

Clinical effect comparison of different anesthetic approach to 120 cases of cervical plexus block

目的总结一针法或双侧颈浅丛神经阻滞完成颈部手术的临床效果。方法对本院2009年5月～2012年10月平诊手术治疗的120例颈部手术患者随机分为两组,A组患者行一针法颈深浅丛阻滞,B组为双侧颈浅丛神经阻滞。比较两组的麻醉效果。记录围麻醉期的血压、脉搏、血氧饱和度等指标。观察术后镇痛情况和术后并发症。结果 B组麻醉效果优良率好于A组,差异有统计学意义(P<0.05),双侧颈浅丛阻滞麻醉效果满意,术后镇痛作用良好。B组麻醉不良反应及并发症少于A组,差异有统计学意义(P<0.05)。结论双侧颈浅丛阻滞是颈部手术麻醉的良好选择。

Objective To summarize the clinical effects of one-stitch superficial cervical plexus block approach and bilateral superficial cervical plexus block method in cervical surgery. Methods One hundred and twenty patients who went cervical surgery in our hospital from May 2009 to October 2012 were randomly divided into two groups marked A and B respectively. Patients in group A were given one-stitch superficial cervical plexus block while patients in group B were given bilateral superficial cervical plexus block. The anesthetic effects were compared between the two groups. Blood pressure, pulse and blood oxygen saturation and other indicators during perioperative period were recorded. Postoperative analgesia and postoperative complications of patients were observed. Results Statistically significant dif- ference （P 〈 0.05） exited in anesthetic effects between the two groups which group B showed better results in postop- erative analgesia and total effectiveness. Satisfied with bilateral cervical plexus block anesthesia effect, postoperative analgesic effect was good. Statistically significant difference （P 〈 0.05） also exited in adverse effects and complications, group B was less than group A. Conclusion Bilateral superficial cervical plexus block method is a good choice in cervical surgery anesthesia.