摘要
目的:观察利多卡因及咪达唑仑在全身麻醉输卵管结扎术中预防丙泊酚注射痛的临床效果。方法:选择施行丙泊酚全身麻醉输卵管结扎术者120例,随机分为3组,对照组静脉注射生理盐水2ml,咪达唑仑组静脉注射0.1%咪达唑仑2ml,利多卡因组静脉注射1%丙泊酚20ml与2%利多卡因2ml的混合液。应用VRS评分法观察各组丙泊酚注射痛的情况及其对麻醉的影响和安全性。结果:利多卡因组丙泊酚注射痛明显轻于其它组,且能减少丙泊酚用药量,受术者苏醒快,生命体征平稳。结论:丙泊酚混合利多卡因能减轻丙泊酚注射痛;静脉用利多卡因有较强的镇静作用,能减少丙泊酚用药量,且对苏醒无影响。
Objective：To observe clinical effects of propofol combined with lidocaine or midazolam on prevention of injection pain in patients performing tubal ligation.Methods：A total of 120 patients were randomly divided into three groups.Patients in the control group were injected with 2ml of normal saline;patients in the midazolam group were given intravenously 2ml of midazolam（0.1%）;patients in the lidocaine group were given the mixture of 20 ml of propofol（1%）and 2 ml of lidocaine（2%）.The VRS score was used to evaluate the pain associated with propofol injection and its effect and security on the anesthesia.Results：The patients in the lidocaine group felt less injection pain than those in the other two groups.Intravenous lidocaine had sedative effects.Conclusion：The use of lidocaine could significantly alleviate the pain due to propofol injection,and reduce the dose of propofol.Patients regained consciousness quickly and had stable vital signs.
出处
《中国计划生育学杂志》
北大核心
2010年第12期740-742,共3页
Chinese Journal of Family Planning
