7%利多卡因气雾剂预防胃镜检查时的呛咳反应  

7%lidocaine aerosol to prevent irritable cough during gastroscopy

作　　者：程华春[1] 杨华[1] 刘永飞[1] 

机构地区：[1]上海市杨浦区市东医院麻醉科,200438

出　　处：《实用疼痛学杂志》2011年第5期365-367,共3页Pain Clinic Journal

摘　　要：目的 观察7%利多卡因气雾剂表面麻醉对胃镜检查中患者呛咳的影响.方法 行胃镜检查的患者50例,随机分为异丙酚加气雾表面麻醉组（气雾组.n=27）;与单纯异丙酚组（对照组,n=23）,两组均予异丙酚快速诱导催眠,气雾组在诱导前沿舌面、咽后肇喷入7%利多卡因气雾剂.结果 气雾组在胃镜到达会厌与退镜时收缩压（SBP）显著低于对照组（P〈0.05）;插镜时气雾组呛咳评分明显低于对照组（p〈0.05）.结论 7%利多卡因气雾剂表面麻醉能有效减轻异丙酚施行的胃镜检查中患者的呛咳反应,使胃镜检查操作更加平稳,也能使患者循环更平稳、安全.Objective To evaluate the effect of 7% lidocaine aerosol on prevention oi irritable cough during gastroscopy examination. Method Fifty patients undergoing gastroscopy examination were randomly divided into two groups, aerosol group （n=27） and control group （n=23）. All of the patients were induced with propofol 1.5 mg/kg intravenously. Surface anesthesia on lingual sur- face and oropharynx with 7% lidocaine aerosol 4 snap （4.5 mg/snap） was added in aerosol group before the induction. Results SBP in aerosol group during gastroscopy intubation and extubation was significant lower than that in control group （P〈0.05）. Compared with control group, the irritable cough during gastroscopy intuhation was decreased significantly in aerosol group （P%0.05）. Conclu- sion Surface anesthesia in hngual surface and oropharynx with 70% lidocaine aerosol before induction can effectively prevent irritable cough during gastroscopy examination, which makes the operation easier and more smooth for gastroscopy. Meanwhile, hemodynamics is more safe and steady.

关 键 词：利多卡因 气雾剂 胃镜检查 表面麻醉 二异丙酚 呛咳 

分 类 号：R472.9[医药卫生—护理学]