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术中持续输注利多卡因对甲状腺手术病人麻醉恢复期的影响 被引量：1

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摘要 目的:观察术中持续输注小剂量利多卡因对甲状腺手术病人麻醉恢复期的影响。方法:选取择期甲状腺手术病人60例,随机均分为利多卡因组(L组)和对照组(C组),两组均施行丙泊酚+瑞芬太尼复合全麻,其中L组麻醉诱导前缓慢静脉推注利多卡因1mg/kg,后继以2mg/(kg·h)泵注至手术结束,C组以等量生理盐水替代。记录麻醉停止给药至苏醒时间与拔管时间,拔管前、后5min的镇静和躁动评分(SAS),拔管后30min的疼痛评分(VAS),麻醉恢复室所用镇痛药曲马多用量。结果:两组病人苏醒时间与拔管时间相似(P>0.05),L组SAS、VAS低于C组,L组与C组比较麻醉复苏期间曲马多用量明显减少(P<0.05)。结论:术中静脉持续输注利多卡因对甲状腺手术病人能减轻术后疼痛,减少术后躁动,提高苏醒质量。
作者 解成兰 居从金 宗川曰 薛金配 颜学军
机构地区 江苏省淮安市第二人民医院麻醉科
出处 《医学理论与实践》 2014年第23期3154-3155,共2页 The Journal of Medical Theory and Practice
关键词 利多卡因 甲状腺手术 麻醉恢复期
分类号 R614 [医药卫生—麻醉学]
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参考文献8

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二级参考文献19

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医学理论与实践
2014年 第23期

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