摘要
摘要目的观察盐酸羟考酮注射液联合右美托咪啶辅助颈丛神经阻滞麻醉下甲状腺手术的可行性及有效性.方法选择ASAⅠ－Ⅱ６０例颈丛神经阻滞麻醉下甲状腺切除术患者.颈丛神经阻滞麻醉组(C组),颈丛神经阻滞麻醉下盐酸羟考酮注射液联合右美托咪啶组(D组).分别记录两组患者各时间点MAP、HR、SpO２的变化.记录VAS评分、Ramsay镇静评分.结果D组在T２、T３时点的MAP、HR均低于C组(P＜０．０５).两组颈丛神经阻滞麻醉VAS评分和Ramsay分级差异有统计学意义(P＜０．０５).结论盐酸羟考酮注射液联合右美托咪啶可为颈丛神经阻滞麻醉下甲状腺切除手术提供满意的镇痛和舒适感.关键词盐酸羟考酮注射液;右美托咪啶;颈丛神经阻滞麻醉;甲状腺手术;镇痛;镇静Applicationofoxycodonehydrochlorideinjectionanddexmedetomidineundergoingthecervicalplexusblockforthyoidectomy．AbstractobjectiveToinvestigateoxycodonehydrochlorideinjectionwithdexmedetomidineauxillarycervicalplexusblockanesthesiafeasibilityandsafelyofthyridsurgery．MothodsSelectASAⅠ－Ⅱ６０casesofcervicalplexusblockanesthesiathyroidectomypatients．Cervicalplexusanesthesiagroup(groupC),cervicalplexusblockanesＧthesiaoxycodonehydrochlorideinjectioncombinedwiththerightdexmedetomidinegroup(groupD)．TwogroupsofpatientswererecordedatdifferenttimepointschangesinMAP,HR,SpO２’s．RecordVASscore,RamsaysedationscoreResultsGroupDinT２T３pointofMAPandHRwerelowerthanCgroup(P＜０．０５)．TwogroupsofcervicalplexusnerveblockanesthesiaVASscoreandRamsygradedifferencesaresignificalT(P＜０．０５)．ConclusionOxycdnehydrochlorideinjectionincombinationwithdexmedetoＧmidineKperyivwedoredssatisfactoryanalgesiaandcomforttocervicalplexusnerveblockanesthesiaofthyroidsurgery．Oxycodonehydrochlorideinjection;Dexmedetomidine;Cervicalplexusblock;Thyoidectomy;analgesia;Clam中图分类号R４５３文献标识码A文章编号１００８－６３１５(２０１５)１２－０２７３－０２
出版日期
2015年12月22日（中国期刊网平台首次上网日期，不代表论文的发表时间）
