全身麻醉或联合颈丛阻滞用于甲状腺手术术后镇痛效果的观察

目的 比较术中单纯全身麻醉(以下简称全麻)与全麻联合颈丛阻滞两种麻醉方式对甲状腺手术患者术后疼痛及恶心、呕吐等相关合并症的发生率的影响.方法 选择80例择期甲状腺手术患者为研究对象,按照基本特征组间均衡可比的原则分为全麻芬太尼组(Ⅰa组)、全麻舒芬太尼组(Ⅰb组)、全麻芬太尼+颈丛阻滞组(Ⅱa组)、全麻舒芬太尼+颈丛阻...

Comparison of analgesic efficacy between general anesthesia or general anesthesia combined with cervical plexus block administered in thyroid operation

Objective To compare the analgesic efficacy and the incidence of the nausea and vomiting between general anesthesia(GA) and general anesthesia combined with cervical plexus block undergoing thyroid surgery. Methods A total of 80 patients who underwent elective thyroid operations were selected and assigned to four groups:GA fentanyl(group Ⅰa, n=20),GA sufentanil(group Ⅰb; n=20),GA fentanyl+cervical plexus block(group Ⅱa, n=20),GA sufentanil+cervical plexus block(group Ⅱb, n=20). Postoperative visual analogue scale (VAS) score, extubation time, recovery time and the incidence of postoperative nausea and vomiting (PONV) were recorded and compared in four groups. Results VAS scores showed significant difference between 2 and 6 h after operation (P<0.05); with that in Ⅰb and Ⅱb groups significantly lower than that inⅠa and Ⅱa (P<0.05). There was no significant difference between VAS scores in Ⅰa and Ⅱa, Ⅰb and Ⅱb groups (P>0.05). No difference was found in VAS score among four groups at 24 h after operation(P>0.05). There were no significant differences about the time of extubation and recovery (P>0.05). No difference of the incidence on PONV was observed among the four groups at the first 24 h postoperatively.Conclusion There was no significant difference between general anesthesia alone and general anesthesia combined with cervical plexus block. Compared with fentanyl sufentanil, sufentanil as a general anesthesia analgesic component could significantly reduce the VAS score of patients after thyroid surgery.