针刺麻醉应用于甲状腺手术的临床观察

Clinical Observations on the Application of Acupuncture Anesthesia to Thyroid Surgery

目的对比评价针刺麻醉与颈丛阻滞麻醉在甲状腺手术中的麻醉效果。方法选取甲状腺手术患者62例,随机分为Ⅰ组和Ⅱ组,分别采用针刺麻醉和颈丛阻滞麻醉,进行甲状腺手术,对比两组在麻醉前、麻醉后15 min和术中心率的变化及手术中或手术后出现的恶心呕吐等不良反应。结果两组患者术中心率都较麻醉前加快(P<0.05),手术全程中Ⅰ组的心率变化较小,与Ⅱ组比较差异具有统计学意义(P<0.05)。术后Ⅰ组恶心呕吐、局麻药的毒性反应、喉返神经损伤发生率要小于Ⅱ组,差异具有统计学意义(P<0.05)。结论在甲状腺手术中使用针刺麻醉要优于颈丛阻滞麻醉。

Objective To compare the effects of acupuncture anesthesia versus cervical plexus block anesthesia during thyroid surgery. Method Sixty-two thyroid surgery patients were randomly allocated to groups I and II and underwent acupuncture anesthesia and cervical plexus block anesthesia, respectively, for the operation. Heart rates before and at 15 min after anesthesia and during the operation and adverse reactions such as nausea and vomiting during or after the operation were compared between the two groups. Result Intraoperative heart rate increased in both groups. Heart rate changed less throughout the operation in group I ; there was a statistically significant difference （P〈0.05）. Postoperative nausea and vomiting, toxic reaction to local anesthetics and incidence of recurrent nerve injury occurred less in group I than in group II ; there was a statistically significant difference （P〈 0.05）. Conclusion Acupuncture anesthesia is superior to cervical plexus block anesthesia during thyroid surgery.