本文選題：肌松藥 + 星狀神經(jīng)節(jié)阻滯��； 參考：《安徽醫(yī)科大學(xué)學(xué)報(bào)》2017年10期

【摘要】：觀察無肌松藥氣管插管聯(lián)合右側(cè)星狀神經(jīng)節(jié)阻滯(SGB)在口咽部手術(shù)中應(yīng)用的可行性與安全性。擇期全身麻醉下行口咽部手術(shù)患者60例,隨機(jī)分為無肌松藥全麻誘導(dǎo)組(無肌松組)和無肌松藥全麻誘導(dǎo)聯(lián)合右星狀神經(jīng)節(jié)阻滯組(聯(lián)合組),每組30例。記錄患者誘導(dǎo)前(T_0)、氣管插管前即刻(T_1)、氣管插管后即刻(T_2)、手術(shù)開始即刻(T_3)時(shí)的平均動(dòng)脈壓(MAP)、心率(HR)、脈搏血氧飽和度(SpO_2)、呼吸末二氧化碳濃度(PETCO_2);及患者手術(shù)后4、8、12、24 h各時(shí)點(diǎn)的VAS評分。結(jié)果顯示兩組氣管插管滿意率及術(shù)后蘇醒差異無統(tǒng)計(jì)學(xué)意義。聯(lián)合組在T_2和T_3時(shí)點(diǎn)的MAP和HR較無肌松組有明顯降低;且在T_2及T_3時(shí)點(diǎn)HR減慢,聯(lián)合組術(shù)后各時(shí)點(diǎn)的VAS評分較無肌松組降低,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。無肌松藥氣管插管聯(lián)合右側(cè)星狀神經(jīng)節(jié)阻滯可提供良好的氣管插管條件,且血流動(dòng)力學(xué)平穩(wěn),術(shù)后蘇醒優(yōu)良,并能減輕術(shù)后咽痛。
[Abstract]:To observe the feasibility and safety of tracheal intubation without muscle relaxant combined with right stellate ganglion block (SGB) in oropharyngeal surgery. Sixty patients undergoing oropharyngeal surgery under selective general anesthesia were randomly divided into two groups: general anesthesia induction group without muscle relaxant (no muscle relaxation group) and general anesthesia induction without muscle relaxant with right stellate ganglion block group (30 cases in each group). The mean arterial pressure (MAPP), heart rate (HRT), pulse oxygen saturation (SPO _ 2), end-respiratory carbon dioxide concentration (PETCO _ 2) were recorded before induction, immediately before tracheal intubation, immediately after tracheal intubation, and immediately after operation, and VAS scores were obtained at each time point of 1224 h after operation. The results showed that there was no significant difference in tracheal intubation satisfaction rate and postoperative recovery between the two groups. The MAP and HR of the combined group were significantly lower than those of the control group at the time of T _ 2 and T _ S _ 3, and the VAS scores of the combined group were significantly lower than those of the non-muscle relaxation group at the time points of T _ S _ 2 and T _ S _ 3, and the difference was statistically significant (P 0.05). Tracheal intubation without muscle relaxant combined with right stellate ganglion block can provide good tracheal intubation conditions stable hemodynamics good recovery after operation and relieve postoperative pharynx pain.
【作者單位】： 安徽醫(yī)科大學(xué)第一附屬醫(yī)院麻醉科;寧國市人民醫(yī)院麻醉科;
【基金】：安徽省自然科學(xué)基金(編號(hào):1708085MH190)
【分類號(hào)】：R614

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本文編號(hào)：1876119