CAJ | 학술논문

目的：探讨利多卡因胶浆对气管插管的影响。方法回顾分析我院2010年3月~2013年3月120例腹腔镜胆囊切除手术患者的临床资料，记录两组患者插管前、插管后5min的HR(心率)、SBP(收缩压)DBP(舒张压)，随访观察插管后2h患者的咽喉部舒适程度，记录患者咽喉部及手术切口部的疼痛、干燥、烧灼感等不适反应。结果把利多卡因胶浆涂抹于气管导管前端，患者对气管导管耐受性好于对照组，咽部异感发生率低。结论盐酸利多卡因作为全麻气管导管润滑剂可提高患者对气管导管的耐受性，从而减轻拔管时的心血管副作用，并减少咽部并发症。
목적：탐토리다잡인효장대기관삽관적영향。방법회고분석아원2010년3월~2013년3월120례복강경담낭절제수술환자적림상자료，기록량조환자삽관전、삽관후5min적HR(심솔)、SBP(수축압)DBP(서장압)，수방관찰삽관후2h환자적인후부서괄정도，기록환자인후부급수술절구부적동통、간조、소작감등불괄반응。결과파리다잡인효장도말우기관도관전단，환자대기관도관내수성호우대조조，인부이감발생솔저。결론염산리다잡인작위전마기관도관윤활제가제고환자대기관도관적내수성，종이감경발관시적심혈관부작용，병감소인부병발증。
Objective To investigate the ef ect of lidocaine hydrochloride mucilageon tracheal intubation. Methods Retrospective analysis in 2010 March to 2013March 120 cases of operation patients of laparoscopic cholecystectomy clinical data, were recorded in two groups before intubation, intubation after 5min HR (heart rate), SBP (SBP) DBP (DBP), observed 2h after intubation the patient's throat comfort degree of patients, record the throat department and the operation incision pain, drying, burning and other discomfort. Results The lidocaine hydrochloride mucilage coated on the tracheal catheter tip, patients with tracheal catheter tolerance than the control group, the low incidence ofpharyngeal abnormal sense. Conclusion Lidocaine hydrochloride as the trachealcatheter lubricant can improve the tolerance to the tracheal catheter patients,thereby reducing the extubation cardiovascular side ef ect, and reduce thecomplications of pharynx.