利多卡因雾化吸入用于气管插管气道表面麻醉的效果

The Effect of Nebulized Lidocaine for Endotracheal Intubation Anesthesia Airway Surface

目的观察利多卡因雾化吸入用于气管插管气道表面麻醉的效果。方法选择我院2012年1月至2013年1月期间需要气管插管的45例患者作为观察组,镇静后给予患者2.0%利多卡因雾化吸入进行表面麻醉,而后给予患者气管插管,同期选择45例需要气管插管的45例患者作为对照组,仅给予患者气管插管,比较两组患者插管前和插管后即刻及插管3min后的平均动脉压(MAP)和心率(HR)等指标,观察患术后并发症发生情况。结果观察组患者插管前、插管3min后MAP和HR水平和对照组比较,差异均无统计学意义(P>0.05),观察组患者插管后即刻MAP和Hr水平较对照组明显升高,差异有统计学意义(P<0.05)。结论利多卡因雾化吸入用于气管插管气道表面麻醉,效果满意,值得临床推广使用。

Objective To observe the nebulized lidocaine for endotracheal intubation anesthesia airway surface effect. Methods In our hospital in January 2012 -2013 in January required during intubation as the observation group 45 patients, sedation given to patients after inhalation of 2.0% lidoeaine for topical anesthesia, and then given to patients intubated year selected the 45 eases requiring endotracheal intubation in 45 patients as a control group given only intubation, intubation compared two groups of patients before and immediately alter intubation and alter intubation 3rain mean arterial pressure （MAP） and heart rate （HR） and other indicators, the incidence of postoperative complications was observed suffering. Results The patients before intubation, intubation alter 3rain MAP and HR level and the control group, the difference was not statistically significant （P〉0.05）, observed in patients immediately alter intubation MAP and Hr levels significantly higher than the control group, the difference was statistically significant （P〈0.05）.Conelusion Nebulized lidocaine for endotracheal intubation anesthesia airway surface, the effect is satisfactory, which is worthy of clinical use.