Effect of micro-pump infusion of remifentanil assisted cervical plexus block anesthesia in thyroid surgery

Abstract

Objective To observe the effect of micro-pump infusion of remifontanil-assisted cervical plexus block in thyroid surgery.Methods 60 patients with ASA Ⅰ～Ⅱ grade elective thyroid surgery were randomly divid-ed into two groups:experimental group(cervical plexus block+remifentanil infusion micro-pump group) and control group(cervical plexus block + Shu Fen Tai Nigeria group) 30 cases.Monitoring two groups of patients before anes-thesia,10 min after cervical plexus block,as well as surgery 10,30,60 min after the start of the heart rate(HR),mean arterial pressure(MAP),respiratory rate(RR),pulse oxygen saturation(SpO2),and the respiratory depression,nausea and vomiting,and other adverse reactions were observed.Results The two groups were satisfactory analgesia and se-dation effects,no advexse reactions occur;Between the two groups HR,MAP,RR,and SpO2 there was no significant difference(F=0.45,0.64,2.78 and 1.94,all P>0.05)and,time-point comparison between HR,MAP difference was statistically significant(F=5.67,1.36,all P>0.05),while the RR and SpO2(F=3.61,4.35,all P<0.05)were not different.Conclusion Remifentanil micro-pump-assisted cervical plexus block for thyroid surgery was safe,effective and good analgesia,less respiratory depression,and it was,worthy of popularization. Key words: Remifentanil; Infusion pumps; Anesthesia local; Thyroidectomy