纤支镜术中麻醉用药利多卡因滴鼻或雾化效果的对比
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摘要
目的比较利多卡因雾化麻醉与滴鼻麻醉应用于纤维支气管镜检查和治疗中的麻醉效果。方法选取2017年3月—2018年10月期间该院600例患者作为研究对象,比较患者使用利多卡因雾化麻醉与滴鼻麻醉的麻醉效果。结果实验组I级61.0%;Ⅱ级27.0%;Ⅲ级l O.0%;Ⅳ级2.0%;对照组I级39.0%;Ⅱ级20.0%;Ⅲ级32.0%;Ⅳ级9.0%。利多卡因雾化麻醉效果明显优于滴鼻麻醉(χ~2=8.24,P<0.01)。结论利多卡因这一药物可以起到充分的局部麻醉作用,在纤支镜检查中,这一药物具有临床推广意义。
Objective To compare the anesthetic effects of lidocaine aerosol anesthesia and nasal anesthesia for fiberoptic bronchoscopy and treatment. Methods 600 patients admitted to our hospital from March 2017 to October2018 were enrolled. The anesthetic effects of lidocaine aerosol anesthesia and nasal anesthesia were compared. Results The experimental group I was 61.0%; the second grade was 27.0%; the third grade was 10.0%; the fourth grade was2.0%; the control group of grade I was 39.0%; the second grade was 20.0%; the third grade was 32.0%; the fourth grade was 9.0%. Lidocaine anesthesia was significantly better than nasal anesthesia(χ~2=8.24,P<0.01). Conclusion Lidocaine can exert sufficient local anesthetic effect. The drug has clinical significance in fiberoptic bronchoscopy.
Objective To compare the anesthetic effects of lidocaine aerosol anesthesia and nasal anesthesia for fiberoptic bronchoscopy and treatment. Methods 600 patients admitted to our hospital from March 2017 to October2018 were enrolled. The anesthetic effects of lidocaine aerosol anesthesia and nasal anesthesia were compared. Results The experimental group I was 61.0%; the second grade was 27.0%; the third grade was 10.0%; the fourth grade was2.0%; the control group of grade I was 39.0%; the second grade was 20.0%; the third grade was 32.0%; the fourth grade was 9.0%. Lidocaine anesthesia was significantly better than nasal anesthesia(χ~2=8.24,P<0.01). Conclusion Lidocaine can exert sufficient local anesthetic effect. The drug has clinical significance in fiberoptic bronchoscopy.
引文
[1]刘扬,王海霞,杨明全.利多卡因雾化用于ICU非紧急气管插管的临床观察[J].中国现代药物应用,2016(1):180-181.
[2]王曾,王霞云.两种麻醉方法在支气管镜检查中的效果比较[J].中国医药指南,2015(12):117-118.
[3]范海霞.超声雾化吸入麻醉用于纤维支气管镜检查的临床观察[J].临床合理用药杂志,2015(23):84.
[4]吴韩英.雾化吸入利多卡因在纤维支气管镜检查中应用效果观察[J].内科,2015(6):565-566.
[5]胡陈鳞,陈丽芬,李荣金,等.氧驱动雾化吸入表面麻醉在清醒下纤维光导喉镜引导插管中的应用[J].现代实用医学,2015(7):756-757.
[6]尤兰华,栗琳,王伦.利多卡因雾化麻醉行纤支镜检查100例临床分析[J].中国误诊学杂志,2016(11):2069.
[7]欧雪吟,李绍修,欧世州.纤维支气管镜检查时不同麻醉方法的效果比较[J].现代中西医结合杂志,2016(22):3115.
[8]刘鹏,崔修德.不同麻醉方法应用于纤维支气管镜检查效果对比[J].河南外科学杂志,2016(1):119-120.
[2]王曾,王霞云.两种麻醉方法在支气管镜检查中的效果比较[J].中国医药指南,2015(12):117-118.
[3]范海霞.超声雾化吸入麻醉用于纤维支气管镜检查的临床观察[J].临床合理用药杂志,2015(23):84.
[4]吴韩英.雾化吸入利多卡因在纤维支气管镜检查中应用效果观察[J].内科,2015(6):565-566.
[5]胡陈鳞,陈丽芬,李荣金,等.氧驱动雾化吸入表面麻醉在清醒下纤维光导喉镜引导插管中的应用[J].现代实用医学,2015(7):756-757.
[6]尤兰华,栗琳,王伦.利多卡因雾化麻醉行纤支镜检查100例临床分析[J].中国误诊学杂志,2016(11):2069.
[7]欧雪吟,李绍修,欧世州.纤维支气管镜检查时不同麻醉方法的效果比较[J].现代中西医结合杂志,2016(22):3115.
[8]刘鹏,崔修德.不同麻醉方法应用于纤维支气管镜检查效果对比[J].河南外科学杂志,2016(1):119-120.