Stress Reaction Changes of Thyroid after Cervical Plexus Block
CUI Xu
Abstract：Objective:To observe the patients with stress reaction of cervical plexus block on operation of thyroid.Method:Forty-four patients without cardiovascular diseases or mental tension or hyperthyroidism were selected.The anesthesia was used for measurement of bilateral superficial cervical,block neck deep.Deep cervical respectively blocked 3,4,5 of cervical spine,withdrawing no blood and cerebrospinal fluid,each point with 0.25% bupivacaine 3-4 ml,injected 8-10 ml in superficial cervical,withdrawing no blood,neither joined the adrenaline.The elbow venous blood were collected one day before the operation,after anesthesia,5,15,30 min(before skin incision),the catecholamines,blood glucose,cortisol value on one day before anesthesia and after anesthesia,the changes of BP and HR were observed and recorded.Result:In 44 patients,the BP,HR,AE,NE, DA,Glu,Cor were increased significantly at 5 min after completion of cervical plexus block,reached to peak level at 15-20 min,and lasted until 30 min,compared with one day before operation,the differences were statistically significant(P<0.05).Conclusion:Thyroid after cervical plexus block has obvious stress reaction,cause the blood pressure and heart rate increased.
Keywords：ThyroidCervical plexus blockCatecholamineBlood glucoseCortisol
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 10-11 )