中国医药科学Issue(14)：62-64,73,4.
美托洛尔和地塞米松复合左布比卡因防治颈丛神经阻滞后心血管副反应的疗效观察
Effect observation of the metoprolol and dexamethasone composite levobupivacaine treatment of the side effects of the cardiovascular after cervical plexus block
摘要
Abstract
Objective To discuss the clinical curative effect of the metoprolol and dexamethasone composite levobupivacaine treatment of the side effects of the cardiovascular after cervical plexus block. Methods 46 patients with thyroidectomy were randomly divided into two groups according to the figures,23 cases in the observation group were anesthetized by the metoprolol and dexamethasone composite levobupivacaine, and 23 cases in the control group were anesthetized by the levobupivacaine, and then the clinical efficacy of the two groups were compared. Results The movement and sensory block onset time of the observation group were all shorter than the control group(all P<0.05), but the sensory and motor maintenance time were longer than the control group(all P<0.05), and after anesthesia, the SPO2、RR in the three times about 10, 45, 90min were no statistically significant(all P > 0.05), but HR and MAP had statistically significant(all P<0.05), total efficiency of narcotic analgesic with 95.65% was higher than the control group with 82.60%(P<0.05), and the patients’satisfaction with 95.65% was higher than the control group with 82.60%(P<0.05). Conclusion Metoprolol and dexamethasone composite levobupivacaine cervical plexus block in thyroid surgery analgesic and sedative effect is more obvious, less postoperative adverse reactions, safe, reliable, efficient and good controllability of the cervical plexus cardiovascular responses during thyroid surgery under anesthesia was significantly inhibited.关键词
甲状腺/颈丛麻醉/美托洛尔/地塞米松/左布比卡因Key words
Thyroid/Cervical plexus anesthesia/Metoprolol/Dexamethasone/Left cloth than paid分类
医药卫生引用本文复制引用
武斌,胡志强,陈锦余..美托洛尔和地塞米松复合左布比卡因防治颈丛神经阻滞后心血管副反应的疗效观察[J].中国医药科学,2014,(14):62-64,73,4.基金项目
广东省云浮市医药卫生科研立项课题（2013B76）。 （）
