| 摘要: |
| ［摘要］ 目的 观察瑞芬太尼辅助罗哌卡因用于颈丛阻滞的麻醉效果。方法 选择ASA Ⅰ～Ⅱ级行甲状腺腺瘤手术病例40例，随机分成A组（瑞芬太尼组）和B组（氟哌利多与芬太尼组）各20例。对行颈丛阻滞观察麻醉前（T0）、阻滞后5 min（T1）、切皮时（T2）、分离甲状腺上下极时（T3）、切除甲状腺时（T4）、术毕（T5）各时间段血压（BP）、心率（HR）和血氧饱和度（SpO2）及麻醉的满意度进行评价。结果 A组的BP、HR、SpO2基本稳定，B组与A组比较，分离甲状腺及切除甲状腺时BP、HR升高明显（P<0.05）；术中VSA评分两组比较，A组麻醉满意度明显优于B组(P<0.01)。结论 小剂量瑞芬太尼辅助颈丛阻滞在甲状腺手术中是一种安全、有效的麻醉方法。 |
| 关键词: 瑞芬太尼 罗哌卡因 颈丛阻滞 |
| DOI：10.3969/j.issn.1674-3806.2009.10.26 |
| 分类号:R 614.4 |
| 基金项目: |
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| Clinical observation on ropivacaine assisted by remifentanil in cervial plexus block |
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TANG Xue-feng, ZHANG Xue-gang, HUANG Bin
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Department of Anesthesiology, the People′ s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To study the anaesthetic effect of cervial plexus block with ropivacaine, assisted by remifentanil.Methods Forty patients(ASA Ⅰ～Ⅱ) who underwent hypothyroid adenoma operations were divided two groups randomly, A group(Remifentanil), and B group(Droperidol+ Fentanyl）. The BP, HR, SpO2 and the satisfaction degree of anaesthesia were evaluated at different time points: T0(pre- anaesthesia), T1(5min afte block), T2（cutting the skin）, T3 (separating hypothyroid), T4 (excising hypothyroid), T5 (postoperation).Results BP, HR and SpO2 of A group were basicly stable, BP and HR of B group were higher than those of A group signficantly at T3 and T4（P<0.05）. The satisfaction degree of anaesthesia (VSA grade) of A group was much better than that of B group(P<0.01).Conclusion The cervial plexus block assisted by small dose of remifentanil is a safe and effective method of anaesthesia. |
| Key words: Remifentanil Ropivacaine Cervial plexus block |
