达克罗宁与丁卡因复合麻醉在纤维喉镜诊断与治疗中的应用  

Application of combined anesthesia with dyclonine and tetracaine in fibrolaryngoscopic diagnosis and treatment

作　　者：陈湘晖[1] 肖健云[1] 赵素萍[1] 冯永[1] 

机构地区：[1]中南大学湘雅医院耳鼻咽喉科,湖南长沙410008

出　　处：《中国耳鼻咽喉颅底外科杂志》2005年第3期172-173,共2页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨达克罗宁与丁卡因复合麻醉在纤维喉镜检查和治疗中的临床效果。方法对90例接受纤维喉镜诊治的病人,随机分成达克罗宁组、丁卡因组、达克罗宁与丁卡因复合麻醉组,每组30例,观察其麻醉效果。结果达克罗宁与丁卡因复合麻醉组、达克罗宁组及丁卡因组均取得了满意的麻醉效果,总有效率分别为96.7%、93.3%、90%,其中达克罗宁与丁卡因复合麻醉显效率为90%,明显优于达克罗宁组60%和丁卡因组63.3%,三组经χ2检验,差异有统计学意义。结论纤维喉镜检查与治疗前选用达克罗宁与丁卡因复合黏膜麻醉,可提高麻醉的安全性和可控性,能减少病人痛苦,病人更易于接受。Objective To explore the clinical anesthesia efficacy of patients controlled under dyclonine in combination with tetracaine in fibrolaryngoscopy. Methods Ninety patients undergoing fibrolaryngoscopy were randomly divided into three groups, namely D group ((D=dyclonine)), T group (T=tetracaine), and TD group (TD=tetracaine+dyclonine). Each group included thirty patients. Results TD group, D group, and T group all showed satisfaction with anesthesia. The total effective rate was 96.7%、 93.3% and 90% respectively. The significant ratio of D group and T group was 60% and 63.3% respectively, while TD group was 90% and χ2 Test showed that the difference between TD group and the other two groups was statisfieally ignificant. Conclusion The higher efficacy and less side-effect of combined anesthesia with dyclonine and tetracaine are better than that of dyclonine or tetracaine, and it is easier for patients to accept it.

关 键 词：喉镜术 达克罗宁 丁卡因 复合麻醉 

分 类 号：R767.04[医药卫生—耳鼻咽喉科] R614.1[医药卫生—临床医学]