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静脉注射亚甲蓝缓解丙泊酚注射痛的临床研究

周裕凯 王瑛 张先杰 夏乐强 韩佳

川北医学院学报2018,Vol.33Issue(1):98-100,3.
川北医学院学报2018,Vol.33Issue(1):98-100,3.DOI:10.3969/j.issn.1005-3697.2018.01.029

静脉注射亚甲蓝缓解丙泊酚注射痛的临床研究

Clinical research of intravenous administration of methylene blue reducing the pain associated with propofol intravenous injection

周裕凯 1王瑛 1张先杰 1夏乐强 1韩佳1

作者信息

  • 1. 德阳市人民医院麻醉科,四川 德阳 618000
  • 折叠

摘要

Abstract

Objective:To investigate the efficacy and safety of intravenous methylene blue reducing the pain associated with propofol injectionMethods:180 patients aged 18-50 years old,ASAⅠ-Ⅱ,were randomly and equally divided into 3 groups:two test groups (group M and group L) and one control group(group C).Methylene blue 20mg and 2% lidocaine 40mg were given separately in group M and group L before injection of propofol. Meanwhile,the same volumetric normal saline was injected in group C.1% propo-fol was intravenously injected with a rate of 0.5 ml/s until patients lost consciousness.The frequency and severity of propofol injection pain were documented with a Ambesh 4-point scale.All patients were followed up by phone call about adverse reactions after 1 d.Re-sults:178 of 180 patients were completed and enrolled in the study. The rate of injection pain was 91.5% in group C, significantly higher than the rates of the two test groups,respectively (P<0.017,40.0% in group M and 27.1% in group L). But no statistical difference was found between the two test groups in the rate of injection pain.Group C mainly presented with a moderate-severe pian, but the two test groups only showed a mild-moderate injection pain.All patients declared no adverse reactions happened by telephone interview excepted 2 patients refused.Conclusions:Methylene blue may replaced lidocaine to effectively reduced the pain of propofol intravenous injection.

关键词

亚甲蓝/丙泊酚/注射痛

Key words

Methylene blue/Propofol/Injection pain

分类

医药卫生

引用本文复制引用

周裕凯,王瑛,张先杰,夏乐强,韩佳..静脉注射亚甲蓝缓解丙泊酚注射痛的临床研究[J].川北医学院学报,2018,33(1):98-100,3.

川北医学院学报

OACSTPCD

1005-3697

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