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目的:探讨超声引导下双侧颈神经通路阻滞对甲状腺手术患者术后恢复质量的影响。方法:此试验为一项前瞻性、双盲、随机对照试验，选取择期全身麻醉下行甲状腺部分切除术的60例患者，按照随机数字表法将患者分为试验组（30例）和对照组（30例），麻醉诱导后两组分别行超声引导下的双侧颈神经通路阻滞和双侧颈浅丛阻滞。主要结局指标：术后24 h恢复质量[采用40项恢复质量评分（40-item Quality of Recovery Score, QoR-40）量表评价]。次要结局指标：术中丙泊酚和瑞芬太尼用量，医师操作满意度，入室稳定后（Tn 1）、阻滞后2 min（Tn 2）和切皮即刻（Tn 3）时心率和MAP变化，苏醒时间，苏醒期不良反应，PACU停留时间，术后0、4、8、24 h静息和运动（咳嗽）状态下疼痛数字评价（Numerical Rating Scale, NRS）量表评分。n 结果:试验组术后24 h QoR-40量表评分总分高于对照组（n P<0.05），其中在自理能力及疼痛的维度上，试验组高于对照组（n P<0.05）。试验组麻醉维持期瑞芬太尼用量小于对照组，医师操作满意度（VAS评分）高于对照组，Tn 1、Tn 2、Tn 3时的心率和MAP低于对照组，苏醒时间少于对照组，术后0、4、8 h静息时NRS评分低于对照组（n P0.05）。n 结论:甲状腺手术患者术前在超声引导下行双侧颈神经通路阻滞，有助于患者术后早期恢复。“,”Objective:To explore the effects of ultrasound-guided bilateral cervical nerve pathway block on the postoperative quality of recovery in patients undergoing thyroid surgery.Methods:This study was a prospective, double-blind, randomized controlled trial. According to the random number table method, 60 patients undergoing partial resection of the thyroid under general anesthesia were divided into the following group (n n=30): an experimental group and a control group. After anesthesia induction, patients in the two groups underwent ultrasound-guided bilateral cervical nerve pathway block and bilateral superficial cervical plexus block, respectively. The primary outcome was the quality of recovery 24 h after surgery [assessed by 40-item Quality of Recovery Score (QoR-40)]. The secondary outcomes included the consumption of propofol and remifentanil, endoscopist satisfaction, changes in heart rate and mean arterial pressure (MAP) when patients become stable in the operation room (Tn 1), 2 min after block (Tn 2), and immediately after skin incision (Tn 3), awakening time, adverse reactions during the recovery period, the length of postanesthesia care unit (PACU) stay, and the scores of Numerical Rating Scale (NRS) 0, 4, 8 h and 24 h after surgery at resting and during movement (coughing).n Results:The experimental group showed significant increases in QoR-40 score 24 h after operation, compared with the control group (n P<0.05), especially in the self-care ability and pain dimension (n P<0.05). Compared with the control group, the experimental group presented decreases in the consumption of remifentanil during anesthesia maintenance, increases in endoscopist satisfaction (VAS score), decreases in heart rate and MAP at Tn 1, Tn 2 and Tn 3, decreases in awakening time, and decreases in NRS scores at resting 0, 4 h and 8 h after surgery (n P0.05).n Conclusions:Ultrasound-guided bilateral cervical nerve pathway block in patients undergoing thyroid surgery is useful to improve the quality of recovery in the early postoperative period.