發(fā)布時(shí)間：2018-04-03 21:41

  本文選題：胸椎旁神經(jīng)阻滯　切入點(diǎn)：超聲　出處：《實(shí)用醫(yī)學(xué)雜志》2017年14期

【摘要】：目的探討超聲引導(dǎo)胸椎旁神經(jīng)阻滯復(fù)合丙泊酚應(yīng)用于胸腔鏡下胸交感神經(jīng)鏈切斷術(shù)的有效性及安全性。方法納入122例多汗癥患者,男63,女59例,將患者分成A組及C組,每組各61例。A組超聲引導(dǎo)胸椎旁神經(jīng)阻滯復(fù)合丙泊酚麻醉,C組行常規(guī)氣管插管靜脈全麻,記錄兩組患者入手術(shù)室(T_0)、麻醉完成時(shí)(T_1)、切皮時(shí)(T_2)、電凝切斷T_4交感神經(jīng)干時(shí)(T_3)、手術(shù)結(jié)束時(shí)(T_4)的心率(HR)、平均動(dòng)脈壓(MAP)和脈搏氧飽和度(SpO_2)及術(shù)后清醒時(shí)間、術(shù)后(T2 h、T4 h、T8 h、T12 h、T24 h)VAS評(píng)分、術(shù)后咽喉不適等。結(jié)果兩組均順利完成手術(shù),A組同C組相比,T_0-T_4的HR、MAP和SpO_2無明顯差別(P0.05);術(shù)后清醒時(shí)間、術(shù)后進(jìn)食時(shí)間、術(shù)后咽喉不適、住院費(fèi)用差異有統(tǒng)計(jì)意義(P0.05),A組優(yōu)于C組;術(shù)后VAS評(píng)分T2 h、T4 h、T8 h、T12 h,A組優(yōu)于C組(P0.05),T24 h兩組沒有明顯差異(P0.05)。結(jié)論超聲引導(dǎo)胸椎旁神經(jīng)阻滯復(fù)合丙泊酚麻醉可以安全有效的應(yīng)用于胸腔鏡下胸交感神經(jīng)鏈切斷術(shù)。
[Abstract]:Objective to evaluate the efficacy and safety of ultrasound-guided paraspinal nerve block combined with propofol in thoracoscopic sympathectomy.Methods 122 hyperhidrosis patients (male 63 and female 59) were divided into two groups: group A (61 cases) and group C (61 cases).璁板綍涓ょ粍鎮(zhèn)ｈ，

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