解放军医药杂志Issue(8)：97-100,4.DOI:10.3969/j.issn.2095-140X.2015.08.024
连续波针刺辅助麻醉在甲状腺手术中的应用
Application of Continuous Wave Acupuncture as Auxiliary Anesthesia for Patients Undergoing Thyroid Surgery
王晓红 1王秀芳 1焦洪峰 1张伟玲 1薛庆丽2
作者信息
- 1. 056001 河北 邯郸，邯郸市人民医院麻醉科
- 2. 056001 河北 邯郸，邯郸市人民医院消化内科
- 折叠
摘要
Abstract
Objective To investigate the effect of continuous wave acupuncture as auxiliary anesthesia for pa-tients undergoing thyroid surgery. Methods A total of 120 patients undergoing thyroid surgery were divided into group A (n=40, acupuncture anesthesia), group B (n=40, cervical plexus block) and (n=40, acupuncture anesthesia +cervical plexus block) according to the anesthesia methods ( patients' choice) . The changes of blood pressure, heart rate and pulse oxygen saturation ( SpO2 ) in the three groups were respectively recorded before anesthesia, before cutting skin after induction, intraoperative separation of upper and lower thyroid poles, and at the end of the surgery, and the analge-sia effect was also evaluated. The uses of intraoperative adjuvant drug and incidence rates of postoperative complications were also recorded. Results In the intraoperative separation of upper and lower thyroid poles, the levels of blood pres-sure and heart rate were significantly higher than those before the anesthesia in group B (P<0. 05), and the differences in the levels were statistically significant compared with those in group A and C ( P<0. 05 ) , but the differences in the levels were not statistically significant in the other three points among the three groups (P>0. 05);there were no signifi-cant differences in SpO2 levels among the three groups at all time points ( P>0. 05 ) . The analgesic effects in group A and C were significantly better than that in group B (P<0. 05). Intraoperative Fentanyl dosage in group B was signifi-cantly higher than those in group A and C (P<0. 05). The incidence rate of postoperative complications in group B was significantly higher than those in group A and C (P<0. 05). Conclusion Acupuncture analgesia combined with local anesthesia or cervical plexus block in thyroid surgery has advantages such as complete analgesia, little effect on circula-tion, small dosage and lower incidence rate of complications.关键词
电针麻醉/麻醉,局部/颈丛阻滞/甲状腺/外科手术/对比研究Key words
Electroacup anesthesia/Anesthesia, local/Cervical plexus block Thyroid gland/Surgical proce-dures/Comparative study分类
医药卫生引用本文复制引用
王晓红,王秀芳,焦洪峰,张伟玲,薛庆丽..连续波针刺辅助麻醉在甲状腺手术中的应用[J].解放军医药杂志,2015,(8):97-100,4.
