全身麻醉复合颈丛阻滞在颈动脉内膜剥脱术中的应用研究

目的：探讨全身麻醉复合颈丛阻滞在颈动脉内膜剥脱术中的应用。方法：将2008年1月～2009年10月我院行颈动脉内膜剥脱术的40例患者按照麻醉方式分为两组,对照组25例采用全身麻醉,观察组15例采用全身麻醉复合颈丛阻滞。比较并分析两组的临床效果。结果：观察组苏醒时间明显短于对照组,且苏醒延迟发生率明显低于对照组,两组比较,差异均有统计学意义（均P〈0.05）;而两组呼吸再抑制发生率比较,差异无统计学意义（P〉0.05）。结论：全身麻醉复合颈丛阻滞应用于颈动脉内膜剥脱术临床效果满意,值得临床关注。

Application of general anesthesia combined with cervical plexus block in the carotid endarterectomy

Objective：To explore the application of general anesthesia combined with cervical plexus block in the carotid endarterectomy.Methods：From January 2008 to October 2009 in our hospital,40 cases of patients with carotid endarterectomy were randomly divided into the control group（25 cases） with general anesthesia and the observation group（15 cases） with general anesthesia combined with cervical plexus block,the effects of the two groups were compared and ana lyzed.Results：The awakening time of the observation group was significantly shorter than that of the control group,and incidence of delayed recovery was significantly lower than that of the control group,there were significant differences in two groups（all〈 P0.05）;but there was no significant difference in the incidence of respiratory suppression（P〉0.05）.Conclusion：General anesthesia combined with cervical plexus block during carotid endarterectomy has satisfactory curative ef fect,it＇s worthy of promotion.