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利多卡因复合舒芬太尼在产科术后镇痛中的临床观察 被引量:3
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作者 朱晓琳 黄守印 《中国社区医师(医学专业)》 2013年第7期52-52,共1页
目的:观察利多卡因复合舒芬太尼在产科术后镇痛效果。方法:选择行剖宫产手术患者100例,随机分为两组,每组50例,LS组:利多卡因复合小剂量舒芬太尼组;S组:舒芬太尼组。结果:LS:优22例,良26例;S:优21例,良28例,不良反应:LS无显著的不良反... 目的:观察利多卡因复合舒芬太尼在产科术后镇痛效果。方法:选择行剖宫产手术患者100例,随机分为两组,每组50例,LS组:利多卡因复合小剂量舒芬太尼组;S组:舒芬太尼组。结果:LS:优22例,良26例;S:优21例,良28例,不良反应:LS无显著的不良反应,S恶心6例,呕吐1例。结论:利多卡因复合小剂量舒芬太尼行产科术后镇痛效果好,不良反应更少。 展开更多
关键词 利多卡因舒芬太尼术后镇痛
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几种无痛方法在人工流产负压吸引术中疗效观察
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作者 曹丽波 孙国辉 李新 《中外医疗》 2008年第14期60-61,共2页
目的探讨人工流产负压吸引术中镇痛的最佳方法。方法选取无阴道分娩史,要求人工流产负压吸引术患者300例,对镇痛疗效进行对比观察,A组100例,异丙酚联合小剂量芬太尼静脉麻醉,B组100例异丙酚静脉麻醉;C组100例利多卡因宫颈多点注射麻醉... 目的探讨人工流产负压吸引术中镇痛的最佳方法。方法选取无阴道分娩史,要求人工流产负压吸引术患者300例,对镇痛疗效进行对比观察,A组100例,异丙酚联合小剂量芬太尼静脉麻醉,B组100例异丙酚静脉麻醉;C组100例利多卡因宫颈多点注射麻醉。观察三组药物的镇痛效果、出血量、宫口松弛情况,人流综合反应发生率及其它反应。结果A组镇痛效果最佳,B组优于利多卡因组经统计学处理差异有显著性;宫口扩张情况A、B组明显优于C组,AB间无差异;术中出血及人流综合反应发生率差异无显著性;AB组有呼吸抑制、梦幻、术后定向障碍,自行离床时间明显比C组长。结论异丙酚联合芬太尼、异丙酚用于人工流产负压吸引术中均有很好的镇痛效果,异丙酚联合芬太尼效果最佳,价格昂贵。利多卡因镇痛有效,价廉,可做基础用药。 展开更多
关键词 人工流产负压吸引术 异丙酚 芬太尼 利多卡因镇痛
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Different suppressive effect of lidocaine on persistent Na^+ current and transient Na^+ current in dorsal root ganglion neurons
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作者 董辉 范延红 +2 位作者 王育英 王文挺 胡三觉 《Journal of Medical Colleges of PLA(China)》 CAS 2007年第6期325-328,共4页
Objective :To investigate the different suppressive effect of lidocaine on persistent Na^+ current and transient Na^+ current in injured or uninjured dorsal root ganglion neurons. Methods: Totally 23 SD rats were ... Objective :To investigate the different suppressive effect of lidocaine on persistent Na^+ current and transient Na^+ current in injured or uninjured dorsal root ganglion neurons. Methods: Totally 23 SD rats were randomly divided into 2 groups: control group (n: 10) and chronically compressed DRG (dorsal root ganglion) group (CCD group, n= 13). Rats were anesthetized and DRG was isolated. Single DRG neuron was isolated by enzymatic disassociation method. Persistent Na^+ current (INap) and transient Na^+ current (INaT) were elicited in voltage clamp mode. Results: The presence of INap was testified in most DRG neurons (38/46 neurons in CCD group and 31/39 neurons in control group, P〉0. 05). However, the cur- rent density of INap in CCD group (4. 6±0. 6 pA/pF, n=38 neurons) was greater than that in control group (2.5±0.4 pA/pF, n=31 neurons) (P〈0. 05). The characteristics of INap was observed and found that INap could he blocked by 0.2 μmol/L tetrodotoxin easily. Furthermore, the does-effect relationship of lidocaine on INaP and IN.T were also examined. INaP and IN.T were suppressed by different concentrations of li- docaine, the range for INap was 5-20 μmol/L and for INaT was 0. 05-2 mmol/L. Conclusion: INap and INaT were suppressed by different concentrations of lidocaine. INap was suppressed by very low concentration of lidocaine (5-20 μmol/L). However, INaT could only be blocked by high concentration of lidocaine (0.05-2 mmol/L). 展开更多
关键词 neuropathic pain persistent Na^+ current transient Na^+ current dorsal root ganglion LIDOCAINE
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