地氟烷维持麻醉在单侧甲状腺癌患者切除术中的应用

Application of Desflurane Maintenance Anesthesia in Patients with Unilateral Thyroid Carcinoma Resection

目的探讨地氟烷维持麻醉在单侧甲状腺癌切除患者中的应用效果。方法选取单侧甲状腺癌切除患者62例,随机分为两组各31例。对照组采取七氟烷维持麻醉,观察组采取地氟烷维持麻醉。比较两组的血流动力学指标、苏醒质量以及不良反应。结果两组不同时间点的HR、MAP比较,差异无统计学意义(P>0.05)。观察组的听从指令时间、定向力恢复时间均短于对照组(P<0.05)。两组的不良反应发生率比较,差异无统计学意义(P>0.05)。结论地氟烷维持麻醉应用于单侧甲状腺癌患者切除术中,能够维持患者血流动力学稳定,提高苏醒质量,具有良好的安全性。

Objective To explore the application effect of desflurane maintenance anesthesia in patients with unilateral thyroid carcinoma resection.Methods 62 patients with unilateral thyroid carcinoma resection were selected and randomly divided into two groups,with 31 cases in each group.The control group received sevoflurane for maintenance anesthesia,and the observation group received desflurane for maintenance anesthesia.The hemodynamic indicators,awakening quality and adverse reactions were compared between the two groups.Results No significant difference was found between the two groups in HR and MAP at different time points(P>0.05).The time to listening instruction and directional force recovery time in the observation group were shorter than those in the control group(P<0.05).No significant difference was found between the two groups in the incidence of adverse reactions(P>0.05).Conclusions Desflurane maintenance anesthesia applied in unilateral thyroid carcinoma resection can maintain the hemodynamic stability of patients,improve awakening quality,and has good safety.