无肌松药气管插管联合右侧星状神经节阻滞在口咽部手术中的应用

发布时间：2018-05-11 23:26

本文选题：肌松药 + 星状神经节阻滞　；参考：《安徽医科大学学报》2017年10期

【摘要】：观察无肌松药气管插管联合右侧星状神经节阻滞(SGB)在口咽部手术中应用的可行性与安全性。择期全身麻醉下行口咽部手术患者60例,随机分为无肌松药全麻诱导组(无肌松组)和无肌松药全麻诱导联合右星状神经节阻滞组(联合组),每组30例。记录患者诱导前(T_0)、气管插管前即刻(T_1)、气管插管后即刻(T_2)、手术开始即刻(T_3)时的平均动脉压(MAP)、心率(HR)、脉搏血氧饱和度(SpO_2)、呼吸末二氧化碳浓度(PETCO_2);及患者手术后4、8、12、24 h各时点的VAS评分。结果显示两组气管插管满意率及术后苏醒差异无统计学意义。联合组在T_2和T_3时点的MAP和HR较无肌松组有明显降低;且在T_2及T_3时点HR减慢,联合组术后各时点的VAS评分较无肌松组降低,差异有统计学意义(P0.05)。无肌松药气管插管联合右侧星状神经节阻滞可提供良好的气管插管条件,且血流动力学平稳,术后苏醒优良,并能减轻术后咽痛。
[Abstract]:To observe the feasibility and safety of tracheal intubation without muscle relaxant combined with right stellate ganglion block (SGB) in oropharyngeal surgery. Sixty patients undergoing oropharyngeal surgery under selective general anesthesia were randomly divided into two groups: general anesthesia induction group without muscle relaxant (no muscle relaxation group) and general anesthesia induction without muscle relaxant with right stellate ganglion block group (30 cases in each group). The mean arterial pressure (MAPP), heart rate (HRT), pulse oxygen saturation (SPO _ 2), end-respiratory carbon dioxide concentration (PETCO _ 2) were recorded before induction, immediately before tracheal intubation, immediately after tracheal intubation, and immediately after operation, and VAS scores were obtained at each time point of 1224 h after operation. The results showed that there was no significant difference in tracheal intubation satisfaction rate and postoperative recovery between the two groups. The MAP and HR of the combined group were significantly lower than those of the control group at the time of T _ 2 and T _ S _ 3, and the VAS scores of the combined group were significantly lower than those of the non-muscle relaxation group at the time points of T _ S _ 2 and T _ S _ 3, and the difference was statistically significant (P 0.05). Tracheal intubation without muscle relaxant combined with right stellate ganglion block can provide good tracheal intubation conditions stable hemodynamics good recovery after operation and relieve postoperative pharynx pain.
【作者单位】：安徽医科大学第一附属医院麻醉科;宁国市人民医院麻醉科;
【基金】：安徽省自然科学基金(编号:1708085MH190)
【分类号】：R614

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