非气管插管静脉麻醉用于颈部淋巴结结核病灶清除术的效果分析

No intubation tube intravenous anesthesia used for regional iymph node dissection

目的：探讨非气管插管静脉麻醉用于颈部淋巴结结核病灶清除术的临床麻醉效果。方法回顾分析2008-01～2012-12该院采用非气管插管静脉麻醉择期进行颈部淋巴结结核病灶清除术88例患者的临床资料。静脉以咪达唑仑、酒石酸布托啡诺、氯胺酮、丙泊酚复合麻醉。术中常规以监护仪监测生命体征、血氧饱和度、心电图等。结果手术切皮时无反应85例，有轻微反应3例。术中收缩压、舒张压、心率、SpO2与术前差异无统计学意义（P＞0.05）。发生呼吸减慢6例，舌后坠2例。手术结束后停药（20.87±9.02）min完全清醒。术后发生恶心、呕吐12例，出现精神症状2例，自觉有轻微头晕11例。结论非气管插管静脉麻醉用于颈部淋巴结结核病灶清除术是一种并发症少、安全、有效、简便的麻醉方法。但需随时做好气管插管的准备，以防意外。

Objective To explore the clinical characteristics of no intubation tube intravenous anesthesia used for regional lymph node dissection .Methods The 88 cases with cervical lymph node tuberculosis treated by no intubation tube intravenous anesthesia in our hospital were analyzed retrospectively .Intravenous anesthesia was injec-ted midazolam, butorphanol, propofol.The monitor was used for monitoring patients′vital signs, SpO2 ECG, and oth-ers′in during surgery .Results Eighty-five cases respond quite satisfactorily to skin incision .Three cases had mild response.Blood pressure and beat of the heart was normally , SpO2 stayed over 98%.Slow respiration was found in 6 cases.Glossoptosis in 2 cases.All patients were awaked postoperative （20.87 ±9.02）min after discontinuing of the drugs.Nausea and vomiting was found in 12 cases, postoperative slight dizziness in 11 cases.Conclusion No intu-bation tube intravenous anesthesia used for regional lymph node dissection is a safe , effective and simple method of anesthesia with less complication .But the intubation tube should be available readily at any times of accident .