针刺辅助麻醉对甲状腺部分切除术患者血流动力学研究

发布时间：2018-03-25 22:36

本文选题：针刺　切入点：靶控输注　出处：《齐齐哈尔医学院学报》2016年27期

【摘要】：目的探索针刺辅助麻醉用于行甲状腺部分切除术中对于患者血流动力学的影响。方法在我院2014年6月至2016年6月间行甲状腺部分切除术患者中随机抽取出80例作为观察对象,根据麻醉方法的不同将其分入到观察组和对照组中,其中对照组患者给予颈丛局部浸润麻醉复合杜氟合剂,观察组患者给予针刺麻醉+靶控输注丙泊酚和瑞芬太尼麻醉,对比分析两组患者在不同时间点的平均动脉压、心率指标、睁眼时间、清醒时间、PACU停留时间、不良反应发生率等指标。结果观察组患者T3、T4时间点的HR和MAP值均低于对照组,P0.05;观察组患者的睁眼时间、清醒时间、PACU停留时间比对照组短,不良反应发生率2.38%低于对照组的18.42%,P0.05。结论在甲状腺部分切除术的麻醉中采用针刺辅助靶控输注丙泊酚和瑞芬太尼麻醉效果好,对患者的血流动力学影响小,患者术后清醒快,安全性高,值得推广应用。
[Abstract]:Objective to explore the effect of acupuncture assisted anesthesia on hemodynamics in patients undergoing partial thyroidectomy. Methods 80 patients with partial thyroidectomy were randomly selected from our hospital from June 2014 to June 2016. According to the different methods of anesthesia, they were divided into the observation group and the control group. The patients in the control group were given local infiltration anesthesia of cervical plexus combined with Duflon mixture, and the patients in the observation group were anesthetized with target-controlled infusion of propofol and remifentanil under acupuncture anesthesia. The mean arterial pressure, heart rate, eye opening time, waking time and PACU residence time were compared between the two groups at different time points. Results the HR and MAP values of the patients in the observation group were lower than those in the control group (P 0.05), and the time of opening eyes, waking time and staying time of PACU in the observation group were shorter than those in the control group. The incidence of adverse reactions was 2.38% lower than that of the control group (18.42%, P 0.05.Conclusion Acupuncture assisted target-controlled infusion of propofol and remifentanil is effective in the anesthesia of partial thyroidectomy, which has little effect on hemodynamics, and the patients wake up quickly after operation. High safety, worth popularizing and applying.
【作者单位】：江西省寻乌县中医院麻醉科;江苏省赣州市立医院麻醉科;
【分类号】：R614

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