现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
12期
1789-1790
,共2页
刘丽冰%王立凤%张成明%张岩
劉麗冰%王立鳳%張成明%張巖
류려빙%왕립봉%장성명%장암
利多卡因%麻醉,全身%血流动力学%喉镜检查%插管法,气管内%声带%息肉
利多卡因%痳醉,全身%血流動力學%喉鏡檢查%插管法,氣管內%聲帶%息肉
리다잡인%마취,전신%혈류동역학%후경검사%삽관법,기관내%성대%식육
Lidocaine%Anesthesia,general%Hemodynamics%Laryngoscopy%Intubation,intratracheal%Vo-calcord%Polyp
目的:探讨利多卡因喉部表面浸润麻醉在支撑喉镜下声带息肉摘除术中的心血管效应及术后苏醒躁动情况。方法2013年6~9月选择20~50岁、美国麻醉医师协会分级Ⅰ~Ⅱ级,在全身麻醉下行支撑喉镜下声带息肉摘除术的患者40例,随机分为对照组和观察组各20例。对照组患者在诱导后3min进行气管插管;观察组患者在诱导后2min用喉麻管向会厌、气管内喷注5mL2%利多卡因,再经过2min进行气管插管。观察和比较两组患者围术期血流动力学指标变化情况及麻醉苏醒期的躁动情况。结果观察组患者血流动力学指标变化情况明显优于对照组,且躁动评分明显低于对照组,差异均有统计学意义(P<0.05)。结论利多卡因喉部表面浸润能有效地减轻支撑喉镜下全身麻醉患者的心血管反应,减少术后躁动,可以良好地应用到支撑喉镜下声带息肉摘除术中。
目的:探討利多卡因喉部錶麵浸潤痳醉在支撐喉鏡下聲帶息肉摘除術中的心血管效應及術後囌醒躁動情況。方法2013年6~9月選擇20~50歲、美國痳醉醫師協會分級Ⅰ~Ⅱ級,在全身痳醉下行支撐喉鏡下聲帶息肉摘除術的患者40例,隨機分為對照組和觀察組各20例。對照組患者在誘導後3min進行氣管插管;觀察組患者在誘導後2min用喉痳管嚮會厭、氣管內噴註5mL2%利多卡因,再經過2min進行氣管插管。觀察和比較兩組患者圍術期血流動力學指標變化情況及痳醉囌醒期的躁動情況。結果觀察組患者血流動力學指標變化情況明顯優于對照組,且躁動評分明顯低于對照組,差異均有統計學意義(P<0.05)。結論利多卡因喉部錶麵浸潤能有效地減輕支撐喉鏡下全身痳醉患者的心血管反應,減少術後躁動,可以良好地應用到支撐喉鏡下聲帶息肉摘除術中。
목적:탐토리다잡인후부표면침윤마취재지탱후경하성대식육적제술중적심혈관효응급술후소성조동정황。방법2013년6~9월선택20~50세、미국마취의사협회분급Ⅰ~Ⅱ급,재전신마취하행지탱후경하성대식육적제술적환자40례,수궤분위대조조화관찰조각20례。대조조환자재유도후3min진행기관삽관;관찰조환자재유도후2min용후마관향회염、기관내분주5mL2%리다잡인,재경과2min진행기관삽관。관찰화비교량조환자위술기혈류동역학지표변화정황급마취소성기적조동정황。결과관찰조환자혈류동역학지표변화정황명현우우대조조,차조동평분명현저우대조조,차이균유통계학의의(P<0.05)。결론리다잡인후부표면침윤능유효지감경지탱후경하전신마취환자적심혈관반응,감소술후조동,가이량호지응용도지탱후경하성대식육적제술중。
Objective To explore the cardiovascular effect and the emergence agitation during the recovery period with laryngeal surface infiltration anesthesia of lidocaine in suspension laryngoscopy vocal cord polypectomy. Methods A total of 40 patients,aged 20-50-year-old,with American Society of Anesthesiologists(ASA)Ⅰ-Ⅱin suspension laryngoscopy vocal cord polypec-tomy under general anesthesia from June to September of 2013 ,were selected and randomly divided into the control group and the observation group,20 cases in each group. The patients of the control group were treated with endotracheal intubation after 3 minutes when the induction is finished while those of the observation group with 5 mL 2%lidocaine to the epiglottis and in the trachea by laryngotracheal topical anesthesia kit and then with endotracheal intubation after 2 minutes. It was compared with hemodynamic parameters change during the perioperational period and the emergence agitation during the recovery period of the two groups. Results The hemodynamic parameters change of the observation group was significantly better than that of the control group while the emergence agitation rating was lower than the that of the control group ,which had statistical difference (P<0.05). Conclusion Laryngeal surface infiltration of lidocaine can effectively reduce the cardiovascular reaction and the e-mergence agitation during the recovery period ,and it can be favourably applied to suspension laryngoscopy vocal cord polypectomy.