瑞芬太尼辅助罗哌卡因用于颈丛阻滞的临床观察

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ASAⅠ～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5min（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。

Clinical observation on ropivacaine assisted by remifentanU in cervial plexus block

Objective To study the anaesthetic effect of cervial plexus block with ropivaeaine, assisted by remifentanil. Methods Forty patients （ASA Ⅰ-Ⅱ ） who underwent hypothyroid adenoma operations were divided two groups randomly, A group（Remifeutanil ）, and B group（Droperidol ＋ Fentanyl）. The BP, HR, SpO2 and the satisfaction degree of anaesthesia were evaluated at different time points： TO （preanaesthesia）, 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 signficandy at T3 and T4 （ P 〈 0. 05 ） ;The satisfaction degree of anaesthesia （ VSA grade） of A group was much better than that of B greup（P 〈0. 01 ）. Conclusion The cervial plexus block assisted by small dose of remifentanil is a safe and effective method of anaesthesia.