摘要
目的 观察并且分析静脉输注不同剂量利多卡因对接受肛肠术后患者的镇痛情况、并发症影响。方法 按照患者意愿、年龄、性别、疾病情况、疾病类型、病程、并发症、合并症等指标抽取2021年3月-2022年3月于本院接受肛肠手术的患者300例作为研究对象。结合以上指标并且按照人数将患者均分为利多卡因1组、利多卡因2组、利多卡因3组,其注射剂量分别为:1.0mg/kg^(-1).h^(-1)、1.4mg/kg^(-1).h^(-1)、1.8mg/kg^(-1).h^(-1)持续通过静脉途径注射;将2018年1月-2020年1月于本院就肛肠手术中接受腰麻作为主要麻醉方式的90例患者作为对照组;使用利多卡因三组患者均使用和对照组术后使用的镇痛药物;分别令利多卡因小组通过下肢知觉恢复时间、首次下床时间、住院时间、首次进行排便和排气时间、不同时段的疼痛评分、BCS舒适度评分、镇静效果、并发症发生率和对照组进行对比。结果 利多卡因小组在首次下床、排便、排气时间以及住院时间上较之对照组存在明显优势,其中使用1.4mg/kg^(-1).h^(-1)注射速度的小组和对照组患者差异最大(P<0.05);在术后不同时段VAS评分、BCS舒适度、镇静效果上、并发症发生率上利多卡因小组较之对照组存在明显优势,总体上使用1.4mg/kg^(-1).h^(-1)注射速度的小组优势依旧最明显(P<0.05)。结论 本次实验结果支持使用1.4mg/kg^(-1).h^(-1)注射速度的利多卡因能保证足够的镇痛效果,并且还能保证患者围术期安全。
Objective To observe and analyze analgesic effect and complications of intravenous infusion of lidocaine with different doses for patients with anal and intestinal surgery.Methods The paper chose 300 patients with anorectal surgery in our hospital from March 2021 to March 2022 as research objects based on willing,age,gender,disease status,disease type,course,complications and comorbidities of patients,and divided them into lidocaine group 1,lidocaine group 2 and lidocaine group 3 based on above indicators and number of patients evenly,with injection doses of 1.0mg/kg^(-1).h^(-1),1.4mg/kg^(-1).h^(-1) and 1.8mg/kg^(-1).h^(-1),injected via intravenous route continuously.90 patients in control group were treated with spinal anesthesia as the main anesthesia method during anorectal surgery in our hospital from January 2018 to January 2020.All three groups with lidocaine were treated with postoperative analgesics of control group.Lower limb perception recovery time,out of bed first time,length of stay,first time defecation and exhaust time,pain scores at different time periods,BCS comfort scores,sedation effect and incidence of complications between lidocaine group and control group were were compared.Results Lidocaine group had more significant advantages than control group in terms of first time out of bed,defecation,exhaust time and length of stay,with the greatest difference between group with an injection rate of 1.4mg/kg^(-1).h^(-1) and control group(P<0.05).Lidocaine group had more significant advantages than control group in terms of VAS scores,BCS comfort,sedative effect and incidence of complications at different postoperative periods.Overall,group with 1.4mg/kg^(-1).h^(-1) injection rate had the most significant advantage(P<0.05).Conclusion Experiment results support lidocaine with an injection rate of 1.4mg/kg^(-1).h^(-1) to ensure sufficient analgesic effect and perioperative safety for patients.
作者
张瑞芳
ZHANG Ruifang(Anesthesiology Department,Inner Mongolia Autonomous Region Traditional Chinese Medicine Hospital,Hohhot,Inner Mongolia 010010)
出处
《智慧健康》
2023年第13期207-211,共5页
Smart Healthcare
关键词
利多卡因
静脉
麻醉
并发症
Lidocaine
Vein
Anesthesia
Complications
