达克罗宁胶浆与利多卡因复合麻醉在窄带成像内镜喉部疾病检查中的应用  

Application of combined dyclonine and lidocaine anesthesia for laryngeal examination using narrow-band imaging endoscopy

作　　者：杜小滢[1] 李娜[1] 孔德敏[1] 刘小红[1] 杨敏娟[1] 任晓勇[1] 侯瑾[1] DU Xiaoying;LI Na;KONG Detain;LIU Xiaohong;YANG Minjuan;REN Xiaoyong;HOU Jin(Department of Otorhinolaryngology Head and Neck Surgery,Second Affiliated Hospital of Xi＇an Jiaotong University,Xi＇an 710004,Shaanxi,China)

机构地区：[1]西安交通大学第二附属医院耳鼻咽喉头颈外科,陕西西安710004

出　　处：《山东大学耳鼻喉眼学报》2018年第5期90-92,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨达克罗宁胶浆与利多卡因复合麻醉在窄带成像内镜喉部疾病检查中应用的临床效果。方法对240例接受窄带成像内镜喉部疾病检查的患者,随机分成达克罗宁组、利多卡因组、达克罗宁与利多卡因复合麻醉组,每组80例,观察其麻醉效果,记录总有效率、视觉模拟量表(VAS)评分。结果三组麻醉效果总有效率分别为70%、90%、88.75%,其中复合麻醉组与利多卡因组总有效率无统计学差异,均显著高于达克罗宁组;复合麻醉组患者VAS评分最低(4.38±2.48),利多卡因组次之(4.78±2.83),达克罗宁胶浆组(5.94±2.70)最高,三者差异有统计学意义。结论应用达克罗宁胶浆与利多卡因复合麻醉可以安全有效地帮助患者完成窄带成像内镜喉部疾病检查,检查效果与单用利多卡因表面麻醉相当,但能够更好的减少患者的痛苦。单用达克罗宁胶浆麻醉无法很满意的完成窄带成像内镜下喉部疾病检查。Objective To investigate the effect of combined dyclonine and lidocaine anesthesia in the examination of the larynx using narrow-band endoscopy. Methods Two hundred forty patients with laryngeal disease were examined using narrow-band imaging endoscopy. The subjects were randomly divided into three groups-dyclonine group,lidocaine group,and dyclonine with lidocaine group（ 80 subjects in each group）,and the total effective rate was observed. The VAS scores were also recorded. Results The total effective rates were 70%（ dyclonine group）,90%（ lidocaine group）,and 88.75%（ dyclonine with lidocaine group）,and the difference between the combined anesthesia group and lidocaine group was not statistically significant. The VAS score was lowest in the combined group（ 4.38±2.48）,followed by the lidocaine group（ 4.78± 2.83）,and the dyclonine group（ 5.94± 2.70）. The difference was statistically significant. Conclusion The application of combined dyclonine and lidocaine is a safe and effective anesthetic technique for performing narrow-band imaging endoscopy in patients with laryngeal disease. Dyclonine alone does not induce adequate anesthesia for complete narrow-band endoscopy.

关 键 词：窄带成像内镜 表面麻醉 达克罗宁 利多卡因 

分 类 号：R767.04[医药卫生—耳鼻咽喉科]