利多卡因联合地塞米松、庆大霉素超声雾化吸入在扁体术后的镇痛效果研究

The effect of ultrasonic atomizing inhatation of lidocaine combined with dexamathasone,and gentamicin after tonsillectomg

目的探讨利多卡因联合地塞米松、庆大霉素超声雾化吸入在扁桃体术后的镇痛效果。方法选择90例双侧扁桃体摘除术患者,随机分为三组各30例。实验组用利多卡因联合地塞米松、庆大霉素超声雾化吸入;对照组1单纯应用利多卡因行超声雾化;对照组2用地塞米松、庆大霉素超声雾化。结果三组患者术后不同时间疼痛的程度、术后的睡眠质量、咽部异物感的程度比较,差异有统计学意义,P<0.05。结论利多卡因联合地塞米松、庆大霉素超声雾化吸入能减轻扁桃体患者术后疼痛、有效的提高术后的睡眠质量、咽部异物感的程度降低。

Objective To explore the effect of ultrasonic atomizing inhalation of lidocaine combined with dexamethasone and gentamicin after tonsillectomy.Methods 90 patients were divided into three groups randomly.The experimental group were used ultrasonic atomizing inhalation of lidocaine combined with dexamethasone and gentamicin;the control group 1 only used ultrasonic atomizing inhalation of lidocaine;the control group 2 used ultrasonic atomizing inhalation of dexamethasone and gentamicin.Results The amount of pain after surgery at different time,postoperative sleep quality,and the degree of pharyngeal foreign body sensation between three groups were different and the difference was statistically significant（P0.05）.Conclusion Using ultrasonic atomization inhalation of lidocaine combined with dexamethasone and gentamicin could relieve postoperative pain and pharyngeal foreign body sensation,and improve the sleep quality effectively after tonsillectomy.