中华麻醉学杂志
中華痳醉學雜誌
중화마취학잡지
CHINESE JOURNAL OF ANESTHESIOLOGY
2010年
6期
698-699
,共2页
利多卡因%输注,静脉内%镇痛%胆囊切除术,腹腔镜
利多卡因%輸註,靜脈內%鎮痛%膽囊切除術,腹腔鏡
리다잡인%수주,정맥내%진통%담낭절제술,복강경
Lidocaine%Infusions,intravenous%Analgesia%Cholecystectomy,laparoscopic
目的 评价腹腔镜胆囊切除术后患者静脉输注利多卡因的镇痛效果.方法 拟行腹腔镜胆囊切除术患者25例,ASA分级Ⅰ或Ⅱ级,年龄30～55岁,体重50～70 kg,麻醉前即刻静脉注射利多卡因1.5 mg/kg,静脉注射芬太尼2 μg/kg、异丙酚2 mg/kg、罗库溴铵1 mg/kg诱导气管插管,吸入1.5%～2.0%异氟烷维持麻醉,间断静脉注射罗库溴铵.手术结束时开始静脉输注利多卡因1.5 mg·kg-1·h-1至术后24 h.于术后1、6、12、24 h时采用视觉模拟评分法(VAS)评价腹痛和肩痛程度(VAS评分≤3分为镇痛有效),记录有关不良反应的发生情况.结果 术后6～24 h镇痛有效率为100%.未见有关不良反应发生.结论 利多卡因静脉给药用于腹腔镜胆囊切除术后患者镇痛的效果良好.
目的 評價腹腔鏡膽囊切除術後患者靜脈輸註利多卡因的鎮痛效果.方法 擬行腹腔鏡膽囊切除術患者25例,ASA分級Ⅰ或Ⅱ級,年齡30～55歲,體重50～70 kg,痳醉前即刻靜脈註射利多卡因1.5 mg/kg,靜脈註射芬太尼2 μg/kg、異丙酚2 mg/kg、囉庫溴銨1 mg/kg誘導氣管插管,吸入1.5%～2.0%異氟烷維持痳醉,間斷靜脈註射囉庫溴銨.手術結束時開始靜脈輸註利多卡因1.5 mg·kg-1·h-1至術後24 h.于術後1、6、12、24 h時採用視覺模擬評分法(VAS)評價腹痛和肩痛程度(VAS評分≤3分為鎮痛有效),記錄有關不良反應的髮生情況.結果 術後6～24 h鎮痛有效率為100%.未見有關不良反應髮生.結論 利多卡因靜脈給藥用于腹腔鏡膽囊切除術後患者鎮痛的效果良好.
목적 평개복강경담낭절제술후환자정맥수주리다잡인적진통효과.방법 의행복강경담낭절제술환자25례,ASA분급Ⅰ혹Ⅱ급,년령30～55세,체중50～70 kg,마취전즉각정맥주사리다잡인1.5 mg/kg,정맥주사분태니2 μg/kg、이병분2 mg/kg、라고추안1 mg/kg유도기관삽관,흡입1.5%～2.0%이불완유지마취,간단정맥주사라고추안.수술결속시개시정맥수주리다잡인1.5 mg·kg-1·h-1지술후24 h.우술후1、6、12、24 h시채용시각모의평분법(VAS)평개복통화견통정도(VAS평분≤3분위진통유효),기록유관불량반응적발생정황.결과 술후6～24 h진통유효솔위100%.미견유관불량반응발생.결론 리다잡인정맥급약용우복강경담낭절제술후환자진통적효과량호.
Objective To investigate the analgesic efficacy of intravenous administration of lidocaine in patients following laparoscopic cholecystectomy. Methods Twenty-five ASA Ⅰ or Ⅱ patients, aged 30-55 yr,weighing 50-70 kg, scheduled for laparoscopic cholecystectomy, were enrolled in this study. Lidocaine 1.5 mg/kg was injected intravenously immediately before anesthesia. Anesthesia was induced with intravenous fentanyl 2 μg/kg, propofol 2 mg/kg and rocuronium 1 mg/kg and maintained with inhalation of isoflurane (end-tidal concentration 1.5%-2.0%) and intermittent iv boluses of rocuronium after tracheal intubation. Lidocaine was infused abdominal intravenously at a rate of 1.5mg·kg-1·h-1 form the end of ofperation to 24 h after operation. The degree of abdominal pain and shoulder pain was assessed with VAS score at 1, 6, 12 and 24 h after operation. The effective analgesia was defined as VAS score of ≤ 3. The adverse reactions were recorded. Results The effective analgesia rate was 100% within 24 h after operation. No adverse reactions occurred. Conclusion Intravenous administration of lidocaine exerts satisfactory analgesia in patients after laparoscopic cholecystectomy.
