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鼻中隔成形术中用于局部麻醉的可卡因片与丁卡因/肾上腺素溶液对比

Cocaine flakes versus tetracaine/adrenaline solution for local anaesthesia in septoplasty.

作者信息

Bizakis John G, Lachanas Vassilios A, Drivas Emmanuel I, Kyrmizakis Dionysios E, Prokopakis Emmanuel P, Benakis Antonios A, Helidonis Emmanuel S

机构信息

Department of Otorhinolaryngology, University of Crete School of Medicine, Heraklion, Crete, Greece.

出版信息

Rhinology. 2004 Dec;42(4):236-8.

PMID:15626258
Abstract

The aim of this prospective study was to evaluate the efficacy of cocaine flakes compared to tetracaine with adrenaline solution, as a local anaesthetic for patients undergoing septoplasty. From January 2001 to December 2002, 220 patients underwent septoplasty under local anaesthesia. Patients were randomly classified in group A and group B, where cocaine and the solution of tetracaine/adrenaline were used respectively. A visual analogue scale was used to evaluate the severity of the patients'pain during the procedure. The patients of group B showed a statistically significant lower pain score than patients of group A. We believe that the solution of tetracaine/adrenaline is an effective and safe anaesthetic for patients undergoing septoplasty under local anaesthesia.

摘要

这项前瞻性研究的目的是评估与丁卡因加肾上腺素溶液相比,可卡因片作为鼻中隔成形术患者局部麻醉剂的疗效。2001年1月至2002年12月,220例患者在局部麻醉下接受鼻中隔成形术。患者被随机分为A组和B组,分别使用可卡因和丁卡因/肾上腺素溶液。采用视觉模拟量表评估患者术中疼痛的严重程度。B组患者的疼痛评分在统计学上显著低于A组患者。我们认为丁卡因/肾上腺素溶液对在局部麻醉下接受鼻中隔成形术的患者是一种有效且安全的麻醉剂。

相似文献

1
Cocaine flakes versus tetracaine/adrenaline solution for local anaesthesia in septoplasty.鼻中隔成形术中用于局部麻醉的可卡因片与丁卡因/肾上腺素溶液对比
Rhinology. 2004 Dec;42(4):236-8.
2
Cocaine versus tetracaine in septoplasty: a prospective, randomized, controlled trial.鼻中隔成形术中可卡因与丁卡因的比较:一项前瞻性、随机、对照试验。
J Laryngol Otol. 2007 Feb;121(2):130-3. doi: 10.1017/S0022215106002386.
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Lidocaine spray vs tetracaine solution for transnasal fiber-optic laryngoscopy.利多卡因喷雾与丁卡因溶液用于经鼻纤维喉镜检查。
Am J Otolaryngol. 2010 Mar-Apr;31(2):114-6. doi: 10.1016/j.amjoto.2008.11.011. Epub 2009 Mar 27.
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Lidocaine adrenaline tetracaine gel versus tetracaine adrenaline cocaine gel for topical anesthesia in linear scalp and facial lacerations in children aged 5 to 17 years.利多卡因肾上腺素丁卡因凝胶与丁卡因肾上腺素可卡因凝胶用于5至17岁儿童头皮线性裂伤和面部裂伤的局部麻醉比较
Pediatrics. 1995 Feb;95(2):255-8.
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LAT (lidocaine-adrenaline-tetracaine) versus TAC (tetracaine-adrenaline-cocaine) for topical anesthesia in face and scalp lacerations.利多卡因-肾上腺素-丁卡因(LAT)与丁卡因-肾上腺素-可卡因(TAC)用于面部和头皮裂伤局部麻醉的比较
Am J Emerg Med. 1995 Mar;13(2):151-4. doi: 10.1016/0735-6757(95)90082-9.
6
Tetracaine/adrenaline/cocaine for local anesthesia.用于局部麻醉的丁卡因/肾上腺素/可卡因。
DICP. 1990 Dec;24(12):1181-3.
7
Comparison of the effect of the lidocaine, tetracaine, and articaine application into nasal packs on pain and hemorrhage after septoplasty.利多卡因、丁卡因和阿替卡因应用于鼻中隔成形术后鼻腔填塞物对疼痛和出血影响的比较。
Eur Arch Otorhinolaryngol. 2018 Oct;275(10):2481-2485. doi: 10.1007/s00405-018-5084-3. Epub 2018 Aug 7.
8
[Hemodynamic effects of local anesthetics with adrenaline during septal surgery].[鼻中隔手术中含肾上腺素局部麻醉药的血流动力学效应]
Kulak Burun Bogaz Ihtis Derg. 2007;17(3):127-9.
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Inclusion of epinephrine to hyperbaric tetracaine and the supine position enhance the cephalad spread of spinal anaesthesia compared with hyperbaric teracaine alone in the lithotomy position.与单独使用重比重丁卡因且处于截石位相比,在重比重丁卡因中加入肾上腺素并采用仰卧位可增强脊髓麻醉药物向头端的扩散。
Acta Anaesthesiol Scand. 2004 Mar;48(3):342-6. doi: 10.1111/j.0001-5172.2004.0331.x.
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Prilocaine-phenylephrine and bupivacaine-phenylephrine topical anesthetics compared with tetracaine-adrenaline-cocaine during repair of lacerations.在裂伤修复过程中,将丙胺卡因-去氧肾上腺素和布比卡因-去氧肾上腺素局部麻醉剂与丁卡因-肾上腺素-可卡因进行比较。
Am J Emerg Med. 1998 Mar;16(2):121-4. doi: 10.1016/s0735-6757(98)90026-2.

引用本文的文献

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Perioperative local anaesthesia for reducing pain following septal surgery.鼻中隔手术后用于减轻疼痛的围手术期局部麻醉
Cochrane Database Syst Rev. 2018 Aug 23;8(8):CD012047. doi: 10.1002/14651858.CD012047.pub2.
2
Evaluation of the anesthetic effect of nasal mucosa with tetracaine 0.5% on hemodynamic changes and postoperative pain of septoplasty: A randomized controlled trial.0.5%丁卡因对鼻中隔成形术血流动力学变化及术后疼痛的鼻黏膜麻醉效果评估:一项随机对照试验
J Adv Pharm Technol Res. 2017 Oct-Dec;8(4):116-119. doi: 10.4103/japtr.JAPTR_8_17.
3
The seroprevalence of hepatitis B, hepatitis C, and human immunodeficiency virus in patients undergoing septoplasty.
鼻中隔成形术患者中乙型肝炎、丙型肝炎和人类免疫缺陷病毒的血清流行率。
Braz J Otorhinolaryngol. 2016 Nov 17;84(1):34-9. doi: 10.1016/j.bjorl.2016.10.008.