CAJ | 학술논문

目的观察利多卡因在清醒患者吸痰中的应用.方法选取本院2009年6月至2010年6月需吸痰的清醒患者83例,随机分为观察组42例,对照组41例.观察组患者在吸引前沿气管内缓慢注入2％的利多卡因0.5～1 ml,2 ～3 min后行气道内吸引;对照组采用常规方法进行气道内吸引.结果两组患者咳嗽、疼痛、躁动、气管痉挛、低氧血症、心律异常、恶心等发生情况比较,差异有统计学意义(P＜0.01);吸痰后出血发生情况比较,差异无统计学意义(P＞0.05);两组患者吸痰过程中、吸痰后2 min、吸痰后5 min的血氧饱和度检测情况比较,差异有统计学意义(P＜0.01).结论利多卡因能够减轻清醒患者吸痰中的机体反应,降低气管的敏感性,减轻患者痛苦,值得临床推广使用.
목적 관찰리다잡인재청성환자흡담중적응용.방법 선취본원2009년6월지2010년6월수흡담적청성환자83례,수궤분위관찰조42례,대조조41례.관찰조환자재흡인전연기관내완만주입2％적리다잡인0.5～1 ml,2 ～3 min후행기도내흡인;대조조채용상규방법진행기도내흡인.결과 량조환자해수、동통、조동、기관경련、저양혈증、심률이상、악심등발생정황비교,차이유통계학의의(P＜0.01);흡담후출혈발생정황비교,차이무통계학의의(P＞0.05);량조환자흡담과정중、흡담후2 min、흡담후5 min적혈양포화도검측정황비교,차이유통계학의의(P＜0.01).결론 리다잡인능구감경청성환자흡담중적궤체반응,강저기관적민감성,감경환자통고,치득림상추엄사용.
Objective To observe the effect of lidocaine on the sputum suction for the sane patient.Methods In our hospital,83 cases were selected from June 2006 to June 2010 and divided into observation group with 42 cases and control group with 41 cases.In the observation group,2％ lidocaine 0.5 ～ 1ml was injected along the patients'trachea; 2 ～3 min later,the sputum suction was done.In the control group,routine sputum suction was adopted.Results The patients in the two groups were compared with cough,pain,agitation,tracheospasm,hyoxemia,abnormal heart rhythms,nausea and so on,there were significant differences (P ＜ 0.01) ; there was no difference in hemorrhage after suctioning; there were significant difference in oxyhemoglobin saturation during suctioning,after suctioning 2 min and 5 min.Conclusions Lidocaine can alleviate the body reaction of patients with sputum suctioning,relieve the sensitivity of the trachea and patients'pain.It is worthy spreading.