不同浓度利多卡因宫颈浸润麻醉复合丙泊酚静脉麻醉在人工流产手术中的应用  

Application of different concentrations of lidocaine cervical infiltration anesthesia combined with propofol intravenous anesthesia in induced abortion

作　　者：张哲 孟雪 邓燕[1] 王立伟[1] ZHANG Zhe;MENG Xue;DENG Yan;WANG Li-wei(Department of Anesthesiology,Xuzhou Central Hospital,Xuzhou Jiangsu 221000,China)

机构地区：[1]徐州市中心医院麻醉科,江苏徐州221000

出　　处：《局解手术学杂志》2022年第12期1089-1092,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：国家自然科学基金(81700078);徐州市临床骨干研修计划(2019GG009);徐州医科大学附属医院科技发展基金(XYFM2020005);徐州市科技计划项目(KC21055)。

摘　　要：目的研究不同浓度利多卡因宫颈浸润麻醉复合丙泊酚静脉麻醉在人工流产手术中的应用效果。方法选取我院收治的176例拟行人工流产手术的患者,按随机数字表法分为对照组和观察组。对照组88例患者给予2.0%利多卡因宫颈浸润麻醉复合丙泊酚静脉麻醉,观察组88例患者给予1.0%利多卡因宫颈浸润麻醉复合丙泊酚静脉麻醉。对比2组患者宫颈松弛度、手术时间、丙泊酚用量。采用视觉模拟量表(VAS)评估2组患者术后10 min、30 min和60 min的疼痛情况;记录2组患者意识清醒时间、定向力恢复时间及术后不良反应发生情况。结果2组患者宫颈松弛度总有效率差异无统计学意义(P>0.05);2组手术时间、丙泊酚用量差异无统计学意义(P>0.05);2组术后10 min、30 min VAS评分比较差异均无统计学意义(P>0.05),2组术后60 min的VAS评分均较术后10 min、30 min升高(P<0.05),但对照组术后60 min的VAS评分低于观察组(P<0.05)。观察组术后意识清醒时间、定向力恢复时间均短于对照组(P<0.05),术后不良反应发生率低于对照组(P<0.05)。结论采用1.0%和2.0%利多卡因宫颈浸润麻醉复合丙泊酚静脉麻醉在人工流产手术中均有良好的镇痛效果,2.0%利多卡因术后镇痛时间更长,而1.0%利多卡因可缩短患者术后意识清醒时间、定向力恢复时间,安全性更高。Objective To study the application effects of different concentrations of lidocaine cervical infiltration anesthesia combined with propofol intravenous anesthesia in induced abortion.Methods A total of 176 patients who underwent induced abortion in our hospital were selected and divided into the control group and the observation group according to random number table method.Eighty-eight patients in the control group were given 2.0%lidocaine cervical infiltration anesthesia combined with propofol intravenous anesthesia,while 88 patients in the observation group were given 1.0%lidocaine cervical infiltration anesthesia combined with propofol intravenous anesthesia.The cervical laxity,operation time and dosage of propofol were compared between the two groups.The pain of patients 10 minutes,30 minutes and 60 minutes after operation in the two groups were evaluated by visual analogue scale(VAS).The conscious time,the recovery time of directional force and the occurrence of postoperative adverse reactions of patients in the two groups were recorded.Results There was no statistically significant difference in the total effective rate of cervical laxity between the two groups(P>0.05).There was no statistically significant difference in the operation time or dosage of propofol between the two groups(P>0.05).There was no significant difference in the VAS scores 10 minutes or 30 minutes after operation between the two groups(P>0.05),the VAS scores 60 minutes after operation in the two groups were higher than those 10 minutes and 30 minutes after operation(P<0.05),but the VAS score 60 minutes after operation in the control group was lower than that in the observation group(P<0.05).The conscious time and the recovery time of directional force after operation in the observation group were shorter than those in the control group(P<0.05),and the incidence of adverse reactions after operation was lower than that in the control group(P<0.05).Conclusion Both 1.0%and 2.0%lidocaine cervical infiltration anesthesia combined with propo

关 键 词：利多卡因 丙泊酚 宫颈浸润麻醉 静脉麻醉 人工流产 疼痛 药物浓度 

分 类 号：R614[医药卫生—麻醉学]