文献类型：期刊文献

中文题名：极低剂量利多卡因在肛肠科短小手术中的麻醉效果观察

英文题名：Efficacy observation on ultra low dose of Lidocaine used to anesthesia in anorectal microsurgery

作者：畅艳娜[1];冯秀玲[1]

第一作者：畅艳娜

机构：[1]甘肃中医药大学附属医院麻醉科,甘肃兰州730020

第一机构：甘肃中医药大学第二附属医院

年份：2022

卷号：48

期号：9

起止页码：35

中文期刊名：兰州大学学报:医学版

外文期刊名：Journal of Lanzhou University(Medical Sciences)

收录：CSTPCD

基金：甘肃省中医药管理局科研课题资助项目(GZK-2018-21)。

语种：中文

中文关键词：利多卡因;罗哌卡因;肛周脓肿;短小手术

外文关键词：Lidocaine;Ropivacaine;perianal abscess;microsurgery

摘要：目的探讨小剂量利多卡因与罗哌卡因腰麻在肛肠科短小手术中的临床应用效果。方法选取甘肃中医药大学附属医院120例肛周脓肿接受手术患者,随机分成对照组和观察组,分别给0.5%罗哌卡因5 mg、1.5%利多卡因30 mg行蛛网膜下腔注入;对比观察2组患者麻醉效果及安全性。结果2组患者麻醉后心率、平均动脉压均无明显变化(P<0.05),感觉阻滞起效时间无明显差异(P<0.05);观察组感觉阻滞持续时间以及肌力恢复至Ⅴ级的时间均显著短于对照组(P<0.05);观察组术后尿潴留显著弱于对照组(P<0.05)。结论1.5%利多卡因30 mg行蛛网膜下腔注入安全性和舒适度高,麻醉效果评级Ⅰ级,值得推广。
Objective To observe the efficacy of an ultra low dose of Lidocaine and Ropivacaine used for anesthesia in anorectal microsurgery.Methods 120 cases of perianal abscess were enrolled for surgery in the Affiliated Hospital of Gansu University of Traditional Chinese Medicine and randomly divided into the control group(0.5%Ropivacaine 5 mg)and the observation group(1.5%Lidocaine 30 mg),then the anesthetic effect and safety of both groups observed.Results There were no significant changes in the heart rate and mean arterial pressure after anesthesia and no significant difference in the onset time of sensory block between the two groups.Compared with the control group,the duration of sensory block and strength recovery time(return to normal)in the observation group were shortened(P<0.05),and postoperative urinary retention weaker(P<0.05).Conclusion The results showed that 30 mg 1.5%Lidocaine is safer,with better anesthetic efficacy and less adverse reactions.It is worthy of clinical application.