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目的:对布托啡诺超前镇痛复合右美托嘧啶术中镇静、镇痛对于颈丛神经阻滞麻醉效果进行对比分析。方法:选取本院2011年7月-2013年6月收治的行甲状腺腺瘤切除术患者90例,将其随机分为观察组和对照组各45例。其中对照组患者采用单纯的颈丛神经阻滞麻醉,观察组患者在此基础上,采用布托啡诺超前镇痛复合右美托嘧啶在术中进行镇静、镇痛。观察两组患者麻醉前后的血压状况,密切监测患者在术中术后是否出现不良反应。结果:观察组患者手术各阶段的生命体征均优于对照组患者(P<0.05);对两组患者的神经阻滞起效时间和持续时间比较,观察组患者起效时间稍慢,但是持续时间比对照组患者长(P<0.05)。结论:在颈丛神经阻滞麻醉中采用布托啡诺超前镇痛复合右美托嘧啶术中镇静、镇痛效果显著,可以减少患者痛苦。
OBJECTIVE: To compare the sedation and analgesia of butorphanol in combination with dexmedetomidine for cervical plexus block anesthesia. Methods: Totally 90 patients underwent thyroidectomy from July 2011 to June 2013 in our hospital were randomly divided into observation group (45 cases) and control group (45 cases). The control group of patients with simple cervical plexus block anesthesia, the observation group patients on this basis, the use of Butorofinovan analgesic complex dexmedetomidine in the sedation, analgesia. The blood pressure before and after anesthesia was observed in two groups of patients, and the patients were monitored closely for adverse reactions after operation. Results: The vital signs in observation group were better than those in control group (P <0.05). The onset time and duration of nerve block in both groups were slower than those in control group The time was longer than the control group (P <0.05). Conclusion: In the cervical plexus block anesthesia with butorphanol advanced analgesic combination dexmedetomidine intraoperative sedation, the analgesic effect is significant, can reduce the patient’s pain.