首页|麻醉药物对甲状腺术中喉返神经监测影响的研究进展

麻醉药物对甲状腺术中喉返神经监测影响的研究进展

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甲状腺疾病是一种常见的内分泌系统疾病,主要由于甲状腺功能分泌不足引起,目前手术切除是治疗甲状腺疾病的主要方法。喉返神经损伤是甲状腺术中一种严重的并发症,术后神经损伤可导致患者声音嘶哑,甚至呼吸困难,严重影响患者生活质量。术中神经电生理监测可以降低甚至避免喉返神经损伤风险,其中麻醉药物是影响术中神经电生理监测的主要因素。能否在保证术中神经监测正常实施前提下提供良好麻醉管理,甲状腺手术中麻醉药物的使用成为关键。本文主要介绍麻醉药物对甲状腺术中喉返神经监测的影响,优化术中麻醉管理、合理应用麻醉药物、避免麻醉药物对喉返神经监测的影响,从而提高手术质量、缩短康复时间。
Research progress on the effect of anesthetic drugs on monitoring of recurrent laryngeal nerve during thyroid surgery
Thyroid disease is a common endocrine system disease,mainly caused by insufficient secretion of thyroid function.Currently,surgical resection is the main method for treating thyroid diseases.Recurrent laryngeal nerve injury is a serious complication during thyroid surgery.Postoperative nerve injury can cause hoarseness and even dyspnea in patients,seriously affecting their quality of life.Intraoperative neuro-electrophysiological monitoring can reduce or even avoid the risk of recurrent laryngeal nerve injury,with anesthetic drugs being the main factor affecting intraoperative neuro-electrophysiological monitoring.The use of anesthetic drugs during thyroid surgery is crucial for providing good anesthesia management while ensuring the normal implementation of intraoperative neuromonitoring.This article mainly introduces the impact of anesthetic drugs on intraoperative monitoring of recurrent laryngeal nerve during thyroid surgery,so as to optimize intraoperative anesthesia management,ensure rational use of anesthetic drugs,and avoid the impact of anesthetic drugs on monitoring of recurrent laryngeal nerve,thereby improving surgical quality and shortening recovery time.

Anesthetic drugsRecurrent laryngeal nerveIntraoperative monitoringThyroid surgery

曹芮、王思童、闫玉荣

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滨州医学院附属医院麻醉科,山东滨州 256600

麻醉药物 喉返神经 术中神经电生理监测 甲状腺手术

山东省医学会镇痛镇静-麻醉优化专项

YXH2022ZX05276

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(1)
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