注射无水酒精治疗肺癌的注药速度与副反应的相关性分析  

Clinical analysis of the injection speed of percutaneous ethanol injection relate to side reaction

作　　者：雷权 

机构地区：[1]广西南宁市邕宁区人民医院内二科,530200

出　　处：《医学信息（下旬刊）》2010年第9期86-86,共1页Medical information

摘　　要：目的：探索减少经皮瘤内注射无水酒精治疗肺癌副反应的方法.方法：经病理或细胞学确诊为肺癌的患者63例,随机分为A、B两组.A组33例,在CT引导下先将2%利多卡因注射液1ml注入局麻,后予适量无水酒精注入瘤中心,匀速注药,速度均为每20秒1ml;B组30例,在CT引导下先将2%利多卡因注射液1ml注入局麻,后予适量无水酒精注入瘤中心,均以极快速度注入.后观察副反应.结果：A组副反应病例6例,B组副反应病例24例, A组副反应严重程度均比B组轻.两组比较差异有统计学意义（χ^2=24.0753,P＜0.05）.结论：A组注药方法副反应少,是经皮瘤内注射无水酒精治疗肺癌较好方法.Objective： To investigate the method of reduce side reaction of percutaneous ethanol injection. Methods：the 63 patients was diagnosised lung cancer , according to pathology or cytology. The patiens was split into A groups or B groups, according to principle of randomization, the A groups was the 33 cases, in the event that of CT--guited. the 1ml of 2% injection of lidocaine was used for local anesthesia ,the ethanol injection of defined amount was injected to the center of tumour, the injection speed was constant speed, it was lml of per 20 seconds; the B groups was the 33 cases, in the event that of CT--guited. the 1ml of 2% injection of lidocaine was used for local anesthesia ,the ethanol injection of defined amount was injected to the center of tumour, the speed was splitting. Clinical observation on the side reaction. Results：the side reactions of the A groups was six cases , the B groups was 24 cases, the side reactions of the B groups was seriouser to the .A groups. To compare the A groups with the B groups, the differenee had the meaning of the statistics（χ^2 =24. 0753, P 〈0.05）. Conclusion：the methods of the A groups was less the side reaction to the B groups,it was the well methods of percutaneous ethanol injection treated lung cancer.

关 键 词：经皮瘤内注射 无水酒精 肺癌 注药速度 副反应 

分 类 号：R734.2[医药卫生—肿瘤]