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Remifentanil-Assisted Cervical Plexus Nerve Block for the Clinical Observation of Thyroidectomy

ZHANG Yanfeng,WANG Ying,SHA Yuting.Department of Anesthesiology,the Shanxian Dongda Hospital of Province Red Cross in Shandong,Shandong Province 274300  
Objective:To investigate the remifentanil-assisted cervical plexus nerve block for the feasibility of thyroid surgery.Methods:ASA Ⅰ~Ⅱ level of thyroid surgery patients 60 cases,were randomly divided into remifendell group(R group,n=30)and Fentanyl group(F group,n=30).R group to intravenous remifentanil 0.05mg,followed by 0.1 ~ 0.12μg·kg-1·min-1 continued pump.F group given 2ml fentanyl droperidol mixture.After 10minutes observation in both groups,a line C4 acupuncture carotid plexus block was used.Results:During the surgical operation,blood pressure,heart rate were significantly higher than that before surgery(P0.05),F group was significantly higher than the R group(P0.05).The level of sPO2 in two groups have no significant decrease in a state of oxygen.Breathing holding was found in 2 patients after the first dose remifendell.OAA/S score of R group has significantly difference compared to that of F group(P0.05).Degree of co-operation patients rating:R group was significantly higher than F group(P0.05).Conclusion:Remifentanil maybe safely and effectively assist cervical plexus nerve block for thyroid surgery.
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