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本文采用标准的双穿刺腹腔镜技术,在全麻下使用输卵管环套行腹腔镜输卵管结扎术,在每侧结扎的输卵管部分,滴入各5 ml 1%依铁卡因(实验组)或生理盐水(对照组),对比了解依铁卡因能否减轻术后疼痛、术后抗吐和镇痛药的使用。 1985年9月～1987年5月间共观察97例病人,9例因各种原因而排除,余者随机、双盲分组。依铁卡因组46人、生理盐水组41人,两组在年龄、胎产次、种族和婚姻状况上相似,两组手术时间和留院时间相差亦不显著。结果表明,在经腹腔镜输卵管结扎术中,输卵管局部应用1%的依铁卡因能显著减轻自诉的术后6小时内疼痛(P<0.05),术后24小时疼痛两组相差不显著。依铁卡因组的病人术后恶心、呕吐发生
In this paper, a standard double-laparoscopic laparoscopic technique under general anesthesia with a fallopian tube loop laparoscopic tubal ligation, in each part of the ligation of the fallopian tubes, each 5 ml of 1% intravenous infusion of cocaine (experimental group) or physiological Saline (control group) to compare whether it can reduce postoperative pain, postoperative anti-vomiting and analgesic use of econazole. Between September 1985 and May 1987, a total of 97 patients were observed, 9 were excluded for various reasons, and the remaining were randomized and double-blindly grouped. Forty-six patients in the epocaine group and 41 in the saline group were similar in age, parity, race and marital status, and there was no significant difference between the two groups in terms of operation time and hospital stay. The results showed that in the laparoscopic tubal ligation, tubal topical application of 1% of the received intravenous lidocaine can significantly reduce the pain within 6 hours after the private prosecution (P <0.05), 24 hours after the pain was no significant difference between the two groups. According to the patients in the cathxy group, nausea and vomiting occurred