论文部分内容阅读
目的 研究利多卡因气管内喷注与静脉输注在碘缺乏型甲状腺肿切除手术中应用效果.方法 选取碘缺乏型甲状腺肿切除手术90例患者,按抽签的方式分为三组,各30例.对照组患者不接受特殊处理,观察A组接受气管内喷注利多卡因,观察B组接受静脉输注利多卡因.比较三组患者临床情况.结果 气管插管后、牵拉甲状腺上极时及拔管后,观察A组和观察B组的MAP、SBP、DBP均明显低于对照组,差异有统计学意义(P＜0.05).结论 气管内喷注与静脉输注均可以稳定接受碘缺乏型甲状腺肿切除手术患者的血压,但静脉输注可稳定患者的血糖情况,提高手术的成功率.“,”Objective To study the application effect of iodine deficiency goiter surgery treated by endotracheal injection and intravenous infusion of lidocaine.Methods Select iodine deficiency goiter surgery 90 patients,by drawing lots into 3 groups were 30 cases.The control group of patients not receiving special treatment,observation A group received intratracheal injection of lidocaine,the observation group B treated with intravenous lidocaine.Comparison of the clinical condition of the patient three groups.Results After endotracheal intubation,the pole when pulled thyroid and after extubation was observed in group A and observation MAP Group B,SBP,DBP were significantly lower than the control group,the difference was statistically significant (P＜0.05).Conclusion That able to stabilize the blood pressure of the patients accepted the iodine deficiency goiter surgery treated by endotracheal injection and intravenous infusion of lidocaine,and to improve the success rate of operation.