复方利多卡因乳膏用于气管黏膜表面麻醉的临床观察  

The Clinical Observation of Compound Lidocaine Cream in Intratracheal Topical Anesthesia

作　　者：刘岩[1] 金莲锦[1] 关春雨[1] 刘永梁[1] 薛剑锋[1] 

机构地区：[1]牡丹江医学院红旗医院麻醉科,黑龙江牡丹江157011

出　　处：《中医学报》2014年第B12期192-193,共2页Acta Chinese Medicine

基　　金：牡丹江市科学技术计划项目（Z2013s060）

摘　　要：目的观察复方利多卡因乳膏用于气管黏膜表面麻醉的临床效果 方法：选择2013 年1 月至2014 年6 月的全麻气管插管手术患者128 例,随机分为观察组和对照组.其中观察组在气管导管的前端均匀涂布复方利多卡因乳膏,对照组气管导管表面不涂任何药物.记录并比较麻醉诱导前、气管插管前、气管插管即刻和气管插入后患者收缩压（SBP）、舒张压（DBP）、心率（HR）变化.结果：实验组患者的收缩压、舒张压、心率的升高均低于对照组,具有显著的差异.结论：复方利多卡因乳膏用于气管黏膜表面麻醉能有效的预防并减少气管插管的不良反应.ObjectiveTo investigate the clinical effects of applying compound lidocaine cream on tracheal mucosa as topical anesthesia Methods：128 patients were selectedbetween January 2013 and June 2014 ,they were randomly divided into observation group and control group. Compound lidocaine cream was uniformly smeared on endotracheal tubesbefore in tubation in observation group ,and no drug was coated on endotracheal tubes in control group. The changes in systolic blood pressure （SBP）, diastolic blood pressure （DBP）,heart rate （HR） during the anesthesia induction, endotracheal intubation,and endotracheal intubation were compared between the two groups.Results：The systolic blood pressure （SBP）,diastolic blood pressure （DBP）, and heart rate （HR） were lower in observation group than in control group. Conclusion：Adverse reactions can be effectively prevented by Compoundlidocaine cream.

关 键 词：复方利多卡因乳膏 气管黏膜表面 麻醉 临床效果 

分 类 号：R614[医药卫生—麻醉学]