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超声引导下颈丛神经阻滞在甲状腺及甲状旁腺良性病变射频消融术中的应用 被引量:1

Ultrasound-guided application of cervical plexus nerve block in radiofrequency ablation of thyroid andparathyroid benign lesions
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摘要 目的探讨超声引导下颈丛神经阻滞在甲状腺及甲状旁腺良性病变射频消融术中的应用价值。方法选取我院行超声引导下射频消融术的甲状腺结节和甲状旁腺功能亢进患者125例,随机分为2组,分别进行超声引导下颈丛神经阻滞和局部浸润麻醉,并对患者术中出现的疼痛反应采用NRS疼痛分级法。比较超声引导下颈丛神经阻滞和局部浸润麻醉患者在射频消融术中的麻醉药用量及效果。结果超声引导下颈丛神经阻滞组平均麻醉药剂量明显低于局部浸润麻醉组(t=17.681,P〈0.05),神经阻滞组相比局部浸润麻醉组的疼痛分级低(χ2=33.738,P〈0.05)。结论在甲状腺及甲状旁腺病变射频消融术中,超声引导下颈丛神经阻滞麻醉药用量低,麻醉效果好,值得临床推广。 Objective To investigate the efficacy of ultrasound-guided cervical plexus block in radiofrequency ablation of thyroid and parathyroid benign lesions. Methods One hundred and twenty-five patients with thyroid nodules or hyperparathyroidism, who were undergone ultrasound guided radiofrequency ablation, were randomly assigned to receive either ultrasound-guided cervical plexus block or local infiltration anesthesia, and the pain grading was evaluated by numerical rating scale (NRS). The anesthetic dosage and the effect of thermal ablation surgery of ultrasound-guided cervical plexus block anesthesia and local anesthesia were compared. Results The anesthetic dosage in ultrasound-guided cervical plexus block was lower than that in local infiltration anesthesia( t = 17. 681, P〈0.05). The pain grading of ultrasound guided cervical plexus block was lower than that of local infiltration anesthesia(χ2 = 33. 738, P 〈0.05). Conclusions Ultrasound-guided cervical plexus nerve block has lower anesthetic dosage and pain grading in the radiofrequeney ablation of thyroid and parathyroid benign lesions, which may be widely applied in clinical.
作者 姚春 陈林丽 涂美琳 彭成忠 姚洁 包剑锋 Yao Chun, Chen Linli, Tu Meilin, Peng Chengzhong, Yao Jie, Bao Jianfeng.(Department of Ultrasound, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou 310007 , China)
出处 《中华超声影像学杂志》 CSCD 北大核心 2018年第4期314-317,共4页 Chinese Journal of Ultrasonography
基金 杭州市卫计委科技计划项目(2017A63)
关键词 超声检查 甲状腺结节 甲状旁腺疾病 射频消融术 颈丛神经阻滞 浸润麻醉 Ultrasonography Thyroid nodule Parathyroid diseases Radiofrequency ablation Cervical plexus block Infiltration anesthesia
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