摘要
目的:探讨盐酸利多卡因宫颈旁神经阻滞麻醉在宫颈息肉高频电刀切除术中的麻醉效果。方法:选取2015年3月—2016年7月孝感市妇幼保健院收治的拟行宫颈息肉高频电刀切除术患者108例作为研究对象,以随机数字表法分为观察组和对照组,每组54例。两组患者均行宫颈息肉高频电刀切除术,观察组患者给予盐酸利多卡因宫颈旁神经阻滞麻醉。观察两组患者的镇痛效果满意度、平均手术时间、疼痛评分及术中不良反应发生情况。结果:观察组患者镇痛效果满意度为96.30%(52/54),明显高于对照组的81.48%(44/54),差异有统计学意义(P<0.05);观察组患者平均手术时间、疼痛评分分别为(40.18±5.34)min、(0.53±0.12)分,明显优于对照组的(56.72±5.95)min、(3.46±1.25)分,差异均有统计学意义(P<0.05);术中,观察组患者不良反应发生率为3.70%(2/54),明显低于对照组的20.37%(11/54),差异有统计学意义(P<0.05)。结论:盐酸利多卡因宫颈旁神经阻滞麻醉在宫颈息肉高频电刀切除术中的效果显著,可有效减轻患者疼痛,缩短手术时间,减少术中不良反应的发生。
OBJECTIVE：To probe into the effects of lidocaine hydrochloride cervical nerve block anesthesia on high frequency electrotome excision of cervical polypoto . METHODS：108 patients undergoing high frequency electrotome excision of cervical polypotomy admitted into Xiaogan Maternal and Child Health Hospital from Mar .2015 to Jul.2016 were extracted to be divided into observation group and control group via the random number table , with 54 cases in each .Two groups were given high frequency electrotome excision of cervical polypoto , based on which , the observation group received lidocaine hydrochloride cervical nerve block anesthesia .The analgesic effect of satisfaction , average operation time , pain score and incidence of adverse drug reactions during operation of two groups were observed .RESULTS：The analgesic effect of satisfaction of observation group was 96.30%（ 52/54 ） , significantly higher than that of control group [81.48%（44/54）], with statistically significant difference （P〈0.05）.The average operation time, pain score of observation group were respectively （40.18 ±5.34） min and （0.53 ±0.12） scores, significantly lower than that of control group [ （ 56.72 ±5.95 ） min and （ 3.46 ±1.25 ） scores ] , with statistically significant difference（P〈0.05）.During operation, the incidence of adverse drug reactions of observation group was 3.70%（ 2/54 ） , significantly lower than that of control group [ 20.37%（ 11/54 ） ] , with statistically significant difference （ P〈0.05 ） .CONCLUSIONS：The efficacy of lidocaine hydrochloride cervical nerve block anesthesia on high frequency electrotome excision of cervical polypoto is remarkable , which can effectively relieve the pain , shorten the operation duration and reduce the incidence of adverse drug reactions during operation .
出处
《中国医院用药评价与分析》
2017年第10期1344-1345,1348,共3页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
盐酸利多卡因
宫颈旁神经阻滞麻醉
高频电刀切除术
宫颈息肉
应用效果
Lidocaine hydrochloride
Cervical paravertebral nerve block anesthesia
High frequency electro-surgical excision
Cervical polypotomy
Application effect
