Application of ultrasound guided cervical nerve pathway blocking in intraoperative and postoperative early analgesia of thyroid surgery

XU Min; LUO Huiyu

doi:10.3969/j.issn.1002-7386.2017.09.010

Abstract：Objective To observe the analgesia effects of ultrasound guided cervical nerve pathway blocking on patients receiving thyroid surgery.Methods One hundred and six patients who underwent thyroid surgery in our hospital from January 2013 to April 2016 were divided into observation group (n=63) and control group (n=63) according to random number table.The patients in observation group received ultrasound guided cervical nerve pathway blocking,however,the patients in control group received ultrasound guided superficial cervical plexus blocking.The anesthesia effect,general situation of operation,blood pressure and heart rate during anesthesia,pain and the incidence rate of adverse reactions were observed and compared between two groups.Results There were no significant differences in the good rate of anesthesia (both 100%),anesthesia complete time, surgical time,extubation time,length of staying in recovery room,blood pressure and heart rate in different time points, VAS score in T2, VAS scores on 24h and 48h after operation in movement condition,anesthesia-related incidence rate of adverse reactions (4.76% vs 3.17%) between observation group and control group (P>0.05).However there were significant differences in VAS score in T3 (3.15±0.46 vs 4.01±0.53),VAS score on 1h aftr operation in movement condition (2.06±0.34 vs 2.98±0.37), VAS score on 8h aftr operation in movement condition (1.67±0.22 vs 2.41±0.31) between observation group and control group (P<0.05).Conclusion The analgesia effects of ultrasound guided cervical nerve pathway blocking on patients receiving thyroid surgery are similar to those of ultrasound guided superficial cervical plexus blocking,but the intraoperative and postoperative analgesia effects of ultrasound guided cervical nerve pathway blocking are more satisfactory.