局部浸润麻醉对日间手术隆鼻术后疼痛管理的影响
IMPACT OF LOCAL INFILTRATION ANESTHESIA ON POSTOPERATIVE PAIN MANAGEMENT AFTER RHINOPLASTY IN DAY CARE SURGERY.
作者信息
Bagatin Tomica, Bagatin Dinko, Šakić Livija, Šakić Kata
机构信息
1Department of Maxillofacial, Plastic, Reconstuctive and Aesthetic Surgery at Maxillofacial, General, Plastic, Reconstructive and Aesthetic Surgery Polyclinic "Bagatin", Zagreb, Croatia; 2Department of General, Plastic, Reconstuctive and Aesthetic Surgery at Maxillofacial, General, Plastic, Reconstructive and Aesthetic Surgery Polyclinic "Bagatin", Zagreb, Croatia; 3Department of Anaesthesiology and Pain therapy at Maxillofacial, General, Plastic, Reconstructive and Aesthetic Surgery Polyclinic "Bagatin", Zagreb, Croatia; 4Department of Anaesthesiology, Reanimathology and Intensive medicine University hospital "Sveti Duh", Zagreb, Croatia; 5Faculty of Dental medicine and Health Osijek, Josip Juraj Strossmayer University in Osijek, Osijek, Croatia; 6Catholic University of Croatia, Zagreb, Croatia.
出版信息
Acta Clin Croat. 2019 Jun;58(Suppl 1):62-66. doi: 10.20471/acc.2019.58.s1.09.
Use of local infiltration anaesthesia with 2% lidocaine in combination with epinephrine 1/100000 in rhinoplasty and 0.25% levobupivacaine in this research as an adjunct to general anaesthesia is compared analysing the need for postoperative analgesia in rhinoplasty patients. 30 patients received lidocaine combined with epinephrine (LA) and other 30 patients received levobupivacaine (LB). Comparison is done with Visual Analogue Scale in 30 min and 1, 3, 6 h postoperatively. Also 24 h need for analgesic treatment was recorded. In conclusion postoperative analgesia in LB group with general anaesthesia was significantly prolonged (P = 0.038).
在这项研究中，比较了在隆鼻手术中使用2%利多卡因联合1/100000肾上腺素进行局部浸润麻醉以及使用0.25%左旋布比卡因作为全身麻醉辅助手段时，隆鼻患者术后镇痛的需求情况。30例患者接受利多卡因联合肾上腺素（LA），另外30例患者接受左旋布比卡因（LB）。术后30分钟、1小时、3小时和6小时使用视觉模拟评分法进行比较。同时记录24小时的镇痛治疗需求。总之，全身麻醉下LB组的术后镇痛时间显著延长（P = 0.038）。
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