题名 |
COMPARISON OF LOWER CONCENTRATIONS OF LIDOCAINE TO SUPPRESS BUCKING BEFORE EXTUBATION DURING RECOVERY OF GENERAL ANESTHESIA |
并列篇名 |
比較低濃度Lidocaine在全身麻醉的恢復期抑制拔管前病人的咳嗽 |
作者 |
吳宗正(Tzong-Jeng Wu);劉健強(Chien-Chiang Liu);林仙養(Shian-Yeang Lin);江洽榮(Chung-Jong Jiang);陳欽隆(Chin-Long Chen);侯文詠(Wen-Yeong Hou)梁恆彰(Hen-Chang Liang);李宗勳(Tzong-Shiun Lee);黃啟祥(Chi-Hsiang Huang);洪柏園(Po-Yuan Hong);林珍榮(Luciana Susetio);黃芳彥(Fan-Yen Huang);趙繼慶(Chi-Ching Chao) |
关键词 |
Endotracheal tube ; Lidocaine |
期刊名称 |
Acta Anaesthesiologica Sinica |
卷期/出版年月 |
28卷3期(1990 / 09 / 01) |
页次 |
279 - 283 |
内容语文 |
英文 |
中文摘要 |
Thirty females, aged 25-50 years old, scheduled for abdominal total hysterectomy were randomly divided to two groups. For patients in group I, 2 mL 1% lidocaine solution was injected through the catheter on the tube to desensitize the trachea while surgeon started to close the peritoneum. In group II, 2 mL 2% lidocaine was used. The peak cuff pressures generated in the awakening group I patients were 49 .0±2.5 cmH_2O (mean±SD) which shows greater than that in group II (27.9±7.2 cmH_2O), p < 0.01. Bucking before awakening was also evaluated clinically. One hundred % (15/15) in group I patients bucked compared with 13.3% (2/15) in group II patients (p < 0.01). Gag reflex was preserved in all patients and none suffered from aspiration postoperatively. Intratracheal administration of two mL 2% lidocaine through the catheter of modified endotracheal tube showed significant effect for suppressing bucking during recovery of general anesthesia. |
英文摘要 |
本實驗將三十位接受全子宮切除術的婦科病人分為二組。全部病人都使用改良型氣管內管。對第一組病人,在外科醫師開始,縫合腹膜時,吾人將2 mL 1% Lidocaine經導管注入氣管內管上氣囊的周圍,以減少氣囊對氣管的刺激;第二組則以2 mL 2% Lidocaine。手術結束後,在病人清醒前,連續測量氣管內管上氣囊的最高壓力以代表咳嗽(Bucking)的程度。所有病人都於麻醉結束,清醒後才拔管。結果顯示,清醒前的咳嗽程度(氣囊的最高壓力),在第二組病人(27.9±7.2 cmH_2O,mean±SD)比第一組(49.0±2.5 cm H_2O),統計上有意義地減低(p < 0.01,見表二)。全部病人在拔管前後都仍保有Gag reflex的能力,術後都沒有發現Aspiration的現象。 |
主题分类 |
醫藥衛生 >
外科 醫藥衛生 > 藥理醫學 |