地佐新联合利多卡因在宫腔镜的手术的临床观察.docxVIP

地佐新联合利多卡因在宫腔镜的手术的临床观察 郑平勇 魏庆云(通讯作者) 郭峻峰(万州区妇幼保健院404000) 【摘要】目的观察地佐新联合利多卡因在宫腔镜的手术的临床效果和安全性。 方法 选择宫腔镜电切术患者80例，随机分为两组，观察组40例，为地佐新联 合利多卡因；对照组40例，仅用利多卡因。记录手术开始前(T0)、电切术时(T1). 术毕时(T2)监测平均动脉压(MAP)、血氧饱和度(SpO2)、心率(HR)和呼吸 (RR),术中、术后30min时镇痛情况及不良反应如恶心、呕吐、头晕等，对其 临床资料进行分析。结果两组患者术中、术后镇痛效果比较(P均lt;0.05),差 异有统计学意义。结论地佐新联合利多卡因在宫腔镜术中和术后的镇痛效果好, 是一种简便、安全、有效的宫腔镜手术镇痛方法。 【关键词】宫腔镜手术 地佐新 镇痛 【中图分类号】R971【文献标识码】A【文章编号】2095-1752 (2013) 03-0143-02 To dezocine joint lidocaine in the hysteroscopic surgery clinical observation ZHENG Pingyong W臼 Qingyun WU Junfeng Wanzhou District Maternal and Child Hospital ofChong Qing,Wan Zhou 404000,Chong Qing,China 【Abstract] Objective Observation to dezocine joint lidocaine in the hysteroscopic surgery clinical efficacy and safet. Methods Choose hysteroscope electrotomy patient 80 cases were randomly divided into two groups, The observation group 40 cases, to dezocine joint lidocaine; 40 cases in control group, only with lidocaine. Record before surgery (TO) electrotomy (Tl) technique finish (T2) monitoring mean arterial pressure (MAP) blood oxygen saturation (SpO2) heart rate (HR) and breathing (RR), intraoperative postoperative analgesia 30 min when and adverse reactions such as nausea and vomiting dizziness, the clinical data were analyzed.Results Two groups of patients during the operation, the postoperative an algesia effect comparis on (P lt; 0.05), the d iff ere nee was statistically sigrdficance.Conclusions Two groups of patients during the operation, the postoperative an algesia effect comparis on (Plt;0.05), the differe nee was statistically sign讦icance; To dezocine joint lidocaine in the hysteroscopic surgery and postoperative an algesia effect is good, is a kind of safe , onvenient and effectiveca n perform hysteroscopy surgery demulcent method. 【Key words] hysteroscopy surgery Dezoci ne an algesia 为了探索一种安全、有效、简便的宫腔镜手术的镇痛方法，本文将地佐 新联合利多卡因在宫腔镜的手术的临床资料报道如下。 1资料和方法 1.1资料 选择2009年1月至2010年4月我院80例拟行宫腔镜手术 住院治疗的患者为研究对象，其中粘膜下肌瘤56例，子宫内膜息肉24例，年龄 23-26岁,平均年龄(35.