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围术期持续输注利多卡因对行颈淋巴结结核切除术患者术后恢复的影响 被引量：7

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摘要 目的观察术中持续静脉泵注利多卡因对颈淋巴结结核切除术术中七氟醚用量及术后短期内疼痛的影响。方法将60例择期手术颈淋巴结核患者随机均分为L组和C组。L组麻醉诱导前缓慢静脉推注利多卡因1mg/kg,继予2 mg/(kg.h)泵注至手术结束;C组以生理盐水替代。2组均行丙泊酚、雷米芬太尼、阿曲库铵和七氟醚吸入复合全麻。调整七氟醚的吸入浓度,保持BIS值45～55。记录术中至术后各时点血压、心率和七氟醚用量,拔除气管导管前后评定躁动评分,麻醉复苏期间需芬太尼镇痛例数及术后0.5,2,6 h VAS评分。结果 2组术中血压、心率平稳。L组较C组术中七氟醚用量明显减少,麻醉复苏期间芬太尼用量减少,拔管时间缩短,各时间点VAS评分明显降低。结论术中静脉持续泵注利多卡因在颈淋巴结结核切除术中能减少七氟醚用量,减轻术后疼痛。
作者 于淑侠 张绍刚 季娟 曹雪莲
机构地区 江苏省南京市中西医结合医院
出处 《现代中西医结合杂志》 CAS 2013年第5期539-540,550,共3页 Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词 利多卡因 术后疼痛 颈淋巴结核清除术
分类号 R614.2 [医药卫生—麻醉学]
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参考文献19

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同被引文献57

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现代中西医结合杂志
2013年 第5期

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