利多卡因在预防全身麻醉拔管呛咳中的应用进展  

Application Progress of Lidocaine in Preventing Cough after Extubation of General Anesthesia

作　　者：郭晓帮 张海亮[2] 

机构地区：[1]延安大学医学院,陕西 延安 [2]延安大学附属医院,陕西 延安

出　　处：《临床医学进展》2024年第3期1249-1254,共6页Advances in Clinical Medicine

摘　　要：在全身麻醉后气管拔管过程中,吸痰拔管的机械刺激不仅会引起咳嗽、支气管痉挛等气道反应,还会引起血流动力学波动,如高血压、心动过速、心律失常等,导致心脑血管事故甚至危及生命的事件。目前,利多卡因为临床常用的表面麻醉剂来预防呛咳反应的发生。本文综述了利多卡因在预防全身麻醉拔管呛咳中的不同 方式的研究进展。During extubation after general anesthesia, mechanical stimulation of sputum aspiration and ex-tubation not only causes airway reactions such as coughing and Bronchospasm, but also causes He-modynamics fluctuations, such as hypertension, tachycardia, arrhythmia, etc., leading to cardio-vascular and cerebrovascular accidents and even life-threatening events. At present, lidocaine is commonly used as a surface anesthetic to prevent the occurrence of choking reaction. This article reviews the research progress of different application methods of lidocaine in preventing cough during extubation of general anesthesia.

关 键 词：利多卡因 全身麻醉 拔管 呛咳反应 预防 

分 类 号：R61[医药卫生—外科学]