国际麻醉学与复苏杂志   2012, Issue (1): 0-0
    
丙泊酚治疗骶管阻滞引起局麻药中毒的临床经验
陈睿, 黄毅然, 李文红, 吴会红, 娄镇, 曹标, 邓丽珍1()
1.广州军区总医院附属一五七医院麻醉科
Clinical Experience of Propofol in Treatment of Local Anesthetic Toxicity Induced by Sacral Block
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摘要:

摘要:目的:探讨丙泊酚在治疗骶管阻滞引起局麻药中毒的应用。方法:回顾分析我科2002年1月至2010年11月期间应用丙泊酚治疗22例骶管阻滞引起局麻药中毒病例,以1997年9月至2002年5月地西泮治疗的22例骶管阻滞引起局麻药中毒病例为对照组,观察两组给药后治疗情况,监测给药前(T1)及给药后3min(T2)、5min(T3)、10min (T4)和20min(T5)各时间点生命体征的变化(HR、SPO2、MAP)。结果:两组局麻药中毒症状均得到有效控制,丙泊酚组的中毒症状消失时间和患者清醒时间均明显低于地西泮组(P

关键词: 丙泊酚;骶管阻滞;毒性反应;局麻药;
Abstract:

Institution: Department of anesthesiology,Affiliated 157th Hospital of GuangZhou genaral hospital of GuangZhou military command .,Guangzhou ,Guangdong 510510, China Abseract: Objective: to study the effect of propofol in treatment of local anesthetic toxicity induced by sacral block.Methods: we retrospectively analyzed 22 case of local anesthetic toxicity of sacral block in our department from January 2002 to November 2010 who had received a treatment of propofol. From September, 1997, to May,2002,other 22 of those patients who received diazepam therapy as the controlled group. Analyzing those data of HR, SPO2 and MAP which were measured immediately prior to, and 3, 5, 10 and 20min after administration . Results: Compared the group P with D, The symptoms of poisoning local anesthetic caused by sacral block has been controlled effectively in both groups, However, the time to the loss of poisoning symptoms and anesthesia were significant shorter in group P (P<0.01).Conclusion: Local anesthetic toxicity of sacral block can be controlled effectively, and toxic symptom quickly relieved by propofol,thus this is a kind of treatment measure with prospect.

Key words: propofol; toxic reaction; sacral block; local anesthetic