实用医学杂志2026，Vol.42Issue(3)：517-524,8.DOI:10.3969/j.issn.1006-5725.2026.03.021
罗哌卡因或复合佐剂行颈浅丛神经阻滞对甲状腺癌根治术患者的影响
Effect of superficial cervical plexus block with ropivacaine or combined with adjuvants on patients under-going radical thyroid cancer surgery
摘要
Abstract
Objective To investigate the effects of ultrasound-guided bilateral superficial cervical plexus nerve block using ropivacaine or ropivacaine combined with different adjuvants on postoperative analgesia and recovery quality in patients undergoing radical thyroid cancer surgery.Methods A total of 140 patients scheduled for radical thyroid cancer surgery were randomly allocated into 4 groups:the general anesthesia group(Group C),the general anesthesia+ropivacaine group(Group R),the general anesthesia+ropivacaine combined with dex-medetomidine group(Group R1),and the general anesthesia+ropivacaine combined with dexamethasone group(Group R2).The observation indicators included the intraoperative consumption of sedative and analgesic drugs,postoperative analgesia requirements,postoperative recovery,resting and active Visual Analogue Scale(VAS)scores,Richards-Campbell Sleep Questionnaire scores,QoR-15 scores,and adverse reactions at different time points after anesthesia.Results Compared with Group C,both the resting and activity VAS scores in Group R were lower within 12 hours after surgery(P<0.05).Similarly,within 24 hours after surgery,the resting and activity VAS scores in Groups R1 and R2 were lower(P<0.05).Moreover,the postoperative RCSQ scores and QoR-15 scores in all three groups(R,R1,R2)were higher(P<0.05).When compared with Group R,the VAS scores in Groups R1 and R2 were lower within 6 to 24 hours post-surgery(P<0.05),and the postoperative RCSQ scores and QoR-15 scores on the first postoperative day were higher(P<0.05).Conclusions Bilateral superficial cervical plexus nerve block with ropivacaine or combined with different adjuvants is superior to general anesthesia in improving intraoperative hemodynamics,reducing the consumption of sedative and analgesic drugs,enhancing analgesic efficacy,and promoting recovery quality in patients undergoing radical thyroid cancer surgery.Ropiva-caine combined with adjuvants has better analgesic effects and recovery quality than ropivacaine alone.关键词
甲状腺癌根治术/颈浅丛神经阻滞/罗哌卡因/右美托咪定/地塞米松Key words
radical thyroid cancer surgery/superficial cervical plexus nerve blocks/ropivacaine/dexmedetomidine/dexamethasone分类
医药卫生引用本文复制引用
杜天笑,李彩芬,张渝,戴璐铭,蒋秋香,瞿寒青,路洋,龚拯..罗哌卡因或复合佐剂行颈浅丛神经阻滞对甲状腺癌根治术患者的影响[J].实用医学杂志,2026,42(3):517-524,8.基金项目
广西自然基金重点项目(编号:2024GXNSFDA010058) （编号:2024GXNSFDA010058）
广西自然基金面上项目(编号:2023GXNSFAA026324) （编号:2023GXNSFAA026324）
广西中医药适宜技术开发与推广项目(编号:GZSY22-58) （编号:GZSY22-58）
广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z-A20230103,Z-A20230055) （编号:Z-A20230103,Z-A20230055）
