现代医药卫生Issue(12)：1789-1790,2.DOI:10.3969/j.issn.1009-5519.2014.12.012
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临床观察
Clinical observation of laryngeal surface infiltration anesthesia of lidocaine in suspesion laryngoscopy vocal cord polypec-tomy
刘丽冰 1王立凤 1张成明 1张岩2
作者信息
- 1. 潍坊医学院麻醉学系，山东潍坊261053
- 2. 潍坊医学院附属医院麻醉科，山东潍坊261031
- 折叠
摘要
Abstract
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.关键词
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Key words
Lidocaine/Anesthesia,general/Hemodynamics/Laryngoscopy/Intubation,intratracheal/Vo-calcord/Polyp引用本文复制引用
刘丽冰,王立凤,张成明,张岩..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临床观察[J].现代医药卫生,2014,(12):1789-1790,2.
