中华麻醉学杂志
中華痳醉學雜誌
중화마취학잡지
CHINESE JOURNAL OF ANESTHESIOLOGY
2009年
11期
1034-1035
,共2页
陈彦青%傅少雄%吴晓丹%戴双波
陳彥青%傅少雄%吳曉丹%戴雙波
진언청%부소웅%오효단%대쌍파
利多卡因%星状神经节%神经传导阻滞
利多卡因%星狀神經節%神經傳導阻滯
리다잡인%성상신경절%신경전도조체
Lidocaine%Stellate ganglion%Nerve block
目的 比较不同浓度利多卡因行星状神经节阻滞时起效时间、维持时间及不良反应.方法 拟行星状神经节阻滞治疗的患者240例,年龄37~76岁,ASA Ⅰ或Ⅱ级,随机分为3组(n=80):0.6%利多卡因组(A组)、0.8%利多卡因组(B组)及1%利多卡因组(C组).由疼痛科同一医师采用胸锁乳突肌后路法行单侧星状神经节阻滞.记录起效时间、维持时间和不良反应发生情况.结果 240例患者均发生霍纳综合征.三组起效时间比较差异无统计学意义(P>0.05);与A组比较,B组和C组维持时间延长(P<0.05);与B组比较,C组维持时间延长(JP<0.05);三组间喉返神经阻滞、臂丛神经阻滞、局麻药中毒和一过性意识丧失等不良反应发生率比较差异无统计学意义(P>0.05).结论 采用0.6%利多卡因、0.8%利多卡因组和1%利多卡因行星状神经节阻滞,虽然维持时间不同,但均迅速起效,并达到治疗目的 ,因此建议采用低浓度局麻药即0.6%利多卡因.
目的 比較不同濃度利多卡因行星狀神經節阻滯時起效時間、維持時間及不良反應.方法 擬行星狀神經節阻滯治療的患者240例,年齡37~76歲,ASA Ⅰ或Ⅱ級,隨機分為3組(n=80):0.6%利多卡因組(A組)、0.8%利多卡因組(B組)及1%利多卡因組(C組).由疼痛科同一醫師採用胸鎖乳突肌後路法行單側星狀神經節阻滯.記錄起效時間、維持時間和不良反應髮生情況.結果 240例患者均髮生霍納綜閤徵.三組起效時間比較差異無統計學意義(P>0.05);與A組比較,B組和C組維持時間延長(P<0.05);與B組比較,C組維持時間延長(JP<0.05);三組間喉返神經阻滯、臂叢神經阻滯、跼痳藥中毒和一過性意識喪失等不良反應髮生率比較差異無統計學意義(P>0.05).結論 採用0.6%利多卡因、0.8%利多卡因組和1%利多卡因行星狀神經節阻滯,雖然維持時間不同,但均迅速起效,併達到治療目的 ,因此建議採用低濃度跼痳藥即0.6%利多卡因.
목적 비교불동농도리다잡인행성상신경절조체시기효시간、유지시간급불량반응.방법 의행성상신경절조체치료적환자240례,년령37~76세,ASA Ⅰ혹Ⅱ급,수궤분위3조(n=80):0.6%리다잡인조(A조)、0.8%리다잡인조(B조)급1%리다잡인조(C조).유동통과동일의사채용흉쇄유돌기후로법행단측성상신경절조체.기록기효시간、유지시간화불량반응발생정황.결과 240례환자균발생곽납종합정.삼조기효시간비교차이무통계학의의(P>0.05);여A조비교,B조화C조유지시간연장(P<0.05);여B조비교,C조유지시간연장(JP<0.05);삼조간후반신경조체、비총신경조체、국마약중독화일과성의식상실등불량반응발생솔비교차이무통계학의의(P>0.05).결론 채용0.6%리다잡인、0.8%리다잡인조화1%리다잡인행성상신경절조체,수연유지시간불동,단균신속기효,병체도치료목적 ,인차건의채용저농도국마약즉0.6%리다잡인.
Objective To compare the onset time, duration and adverse effects of stellate ganglion block (SGB) with different concentrations of lidocaine. Methods Two hundred and forty ASA Ⅰ or Ⅱ patients (97 male, 143 female) aged 37-76 yr weighing 48-79 kg were randomly divided into 3 groups ( n = 80 each): group A, B and C received unilateral SGB with 8 ml of 0.6%, 0.8% and 1.0% lidocaine respectively. Unilateral SGB was performed by the same anesthesiologist in all patients. Successful SGB was verified by Homer's syndrome. The onset time, duration and adverse effects were recorded. Results Homer's syndrome was observed in all patients. There was no significant difference in onset time among the 3 groups. The duration of action was significantly longer in group B and C than in group A and in group C than in group B. There was no significant difference in the adverse effects including recurrent laryngeal nerve block, brachial plexus block, local anesthetic intoxication and transient loss of consciousness among the 3 groups. Conclusion SGB can be induced with either 0.6%, 0.8% or 1.0% lidocaine with comparable effectiveness. We suggest using lower concentration of lidocaine.