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环甲膜穿刺复合咽喉部表面麻醉对支撑喉镜术中血流动力学的影响 被引量：8

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摘要 目的:研究2%利多卡因经环甲膜穿刺复合咽喉部表面麻醉后对支撑喉镜手术病人血流动力学的影响。方法:60例显微支撑喉镜手术病人(年龄18～65岁),ASA分级Ⅰ-Ⅱ,Mallampati分级Ⅰ-Ⅱ按手术时间先后顺序分成两组,每组各30例。Ⅰ组:2%利多卡因咽喉部表面麻醉+常规静脉全麻诱导+2%利多卡因经环甲膜穿刺对气管内表面麻醉。Ⅱ组:常规静脉全麻诱导。记录麻醉诱导前、气管插管后1min、3min、5min SBP、DBP、HR数值,以及支撑喉镜显喉前,支撑喉镜显喉后1min、3min、5min SBP、DBP、HR数值。结果:Ⅰ组同Ⅱ组相比较,HR、SBP、SDP在气管插管及支撑喉镜显喉后1min、3min明显低下,差异有显著性(P<0.05)。结论:2%利多卡因经环甲膜穿刺复合咽喉部表面麻醉能明显抑制气管插管及支撑喉镜手术时的心血管反应,维持血流动力学的稳定。
作者 宋依娜 隋大海 李俊
机构地区 佳木斯大学附属第一医院麻醉科
出处 《黑龙江医药科学》 2013年第1期109-110,共2页 Heilongjiang Medicine and Pharmacy
关键词 环甲膜穿刺 表面麻醉 气管插管 支撑喉镜 血流动力学
分类号 R614 [医药卫生—麻醉学]
  • 相关文献

参考文献10

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二级参考文献8

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共引文献2

同被引文献69

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引证文献8

二级引证文献26

黑龙江医药科学
2013年 第1期

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