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超声介导双侧颈丛阻滞在甲状腺手术中的应用
引用本文:向强,李汉萍,黄军,王作俊,王力甚,梅祖胜,龚兰,易春华.超声介导双侧颈丛阻滞在甲状腺手术中的应用[J].中国医学影像技术,2004,20(12):1921-1923.
作者姓名:向强  李汉萍  黄军  王作俊  王力甚  梅祖胜  龚兰  易春华
作者单位:1. 华中科技大学同济医学院附属荆州医院麻醉科,湖北,荆州,434020
2. 华中科技大学同济医学院附属荆州医院特检科,湖北,荆州,434020
摘    要:目的评价超声介导双侧颈丛阻滞在甲状腺手术中的临床应用价值.方法择期行甲状腺手术病人40例,ASAⅠ~Ⅱ级,随机分为超声介导颈丛阻滞麻醉组(A组)和普通颈丛阻滞麻醉组(B组),A组在B超监测下、B组以盲穿法行C4一点法双侧颈深丛阻滞,以视觉模拟评分法(VAS)评价两组麻醉效果,记录两组患者的麻醉并发症.结果A组患者麻醉效果明显优于B组(P<0.05),且麻醉并发症发生率明显降低.结论超声介导应用于颈丛阻滞麻醉可以改善麻醉效果,减少麻醉并发症.

关 键 词:超声  介入性  颈丛神经  甲状腺切除术
文章编号:1003-3289(2004)12-1921-03
收稿时间:2004/7/11 0:00:00
修稿时间:2004年7月11日

Ultrasound-guided cervical plexus block in thyroidectomy
XIANG Qiang,LI Han-ping,HUANG Jun,WANG Zuo-jun,WANG Li-shen,MEI Zu-sheng,GONG Lan and YI Chun-hua.Ultrasound-guided cervical plexus block in thyroidectomy[J].Chinese Journal of Medical Imaging Technology,2004,20(12):1921-1923.
Authors:XIANG Qiang  LI Han-ping  HUANG Jun  WANG Zuo-jun  WANG Li-shen  MEI Zu-sheng  GONG Lan and YI Chun-hua
Institution:Department of Anesthesia, Jingzhou Hospital, Huazhong University of Science and Technology, Tongji Medical College, Jingzhou 434020, China;Department of Anesthesia, Jingzhou Hospital, Huazhong University of Science and Technology, Tongji Medical College, Jingzhou 434020, China;Department of Anesthesia, Jingzhou Hospital, Huazhong University of Science and Technology, Tongji Medical College, Jingzhou 434020, China;Department of Anesthesia, Jingzhou Hospital, Huazhong University of Science and Technology, Tongji Medical College, Jingzhou 434020, China;Department of Anesthesia, Jingzhou Hospital, Huazhong University of Science and Technology, Tongji Medical College, Jingzhou 434020, China;Department of Anesthesia, Jingzhou Hospital, Huazhong University of Science and Technology, Tongji Medical College, Jingzhou 434020, China;Department of Anesthesia, Jingzhou Hospital, Huazhong University of Science and Technology, Tongji Medical College, Jingzhou 434020, China
Abstract:Objective To investigate the clinincal value of ultrasound guided cervical plexus block in thyroidectomy. Methods Fourty patients with thyroid diseases were randomly divided into two groups before thyroidectomy. Patients of group A ( n =20) were anesthetized by B mode ultrasound guided cervical plexus block, of group B ( n =20)were anesthetized by traditional cervical plexus block. The anesthetizing effects of the two groups were evaluated by visual analogue scale (VAS), and the side effects of the anesthesia were recorded. Results The VAS scores of group A were significantly lower than those of group B after anesthesia ( P <0.05), and the side effects of anesthesia in group A were lower than those of group B. Conclusion Ultrasound guided cervical plexus block bears both satisfactory anesthesia and lower side effects in thyroidectomy.
Keywords:Ultrasound  interventional  Cervical plexus  Thyroidectomy
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