CAJ | 학술논문

目的：比较小切口胆囊切除术( MC)[1]中在肝十二指肠韧带局部注射利多卡因选择性阻断迷走反射和未注射利多卡因阻断迷走反射两种方法对患者安全性的影响。方法监测小切口胆囊切除术中肝十二指肠韧带局部注射利多卡因阻断迷走反射(第1组)和未阻断迷走反射(第2组)两组病例术中的心律、心率、呼吸、血压的变化并进行回顾性分析。结果第1组与第2组比较心率、血压、呼吸差异有统计学意义(P<0．01)，第1组病例的安全性明显提高。结论小切口胆囊切除术中在肝十二指肠韧带局部注射利多卡因可阻断迷走反射，维持心率、呼吸、血压的稳定，可明显提高小切口胆囊切除术的安全性。
목적：비교소절구담낭절제술( MC)[1]중재간십이지장인대국부주사리다잡인선택성조단미주반사화미주사리다잡인조단미주반사량충방법대환자안전성적영향。방법감측소절구담낭절제술중간십이지장인대국부주사리다잡인조단미주반사(제1조)화미조단미주반사(제2조)량조병례술중적심률、심솔、호흡、혈압적변화병진행회고성분석。결과제1조여제2조비교심솔、혈압、호흡차이유통계학의의(P<0．01)，제1조병례적안전성명현제고。결론소절구담낭절제술중재간십이지장인대국부주사리다잡인가조단미주반사，유지심솔、호흡、혈압적은정，가명현제고소절구담낭절제술적안전성。
Objective To compare the impact of two methods on patient's safety: local injection of lidocaine selectively blocking vagal reflex and no injection of lidocaine to block vagal reflex in Hepatic ligament during Small incision cholecystectomy (MC). Methods During small incision cholecystectomy, local injection of lidocaine blocking vagal reflex(the first group)and non-blocking vagal reflex( the second group) in hepatic ligament, monitor the rhythm, heart rate, respiration, changes in blood pressure of two cases were retrospectively analyzed. Results Compared with the second group, the first group is significant differ-ence(P<0. 01), the safety of the first group of patients is significantly improved. Conclusion Local injection of lidocaine in hepatic ligament during small incision cholecystectomy could block vagal reflex, maintain heart rate, respira-tion and the stability of blood pressure,can obviously improve the efficacy of Small incision cholecystectomy.