单纯鼻腔表面麻醉在电子喉镜检查中的应用效果观察

Clinical observation of simple nasal surface anesthesia in electronic laryngoscopy

摘要:

摘要：目的??探讨盐酸丁卡因行咽腔表面麻醉对电子喉镜检查的影响。方法?用双盲法随机将200例电子喉镜检查患者分成两组，每组各100例，一组患者咽腔用1.0%盐酸丁卡因表面麻醉（对照组），另一组用0.9%氯化钠喷雾（实验组），两组患者鼻腔均用呋嘛和1.0%盐酸丁卡因行表面麻醉，检查前均用盐酸达克罗宁胶浆涂抹镜身。根据自设评估标准对患者表面麻醉开始至检查结束期间的反应进行评估。结果?两组患者电子喉镜检查均顺利完成，检查时间差异有统计意义（P <0.05），对照组咽部不适阳性率较实验组高，程度较实验组重，差异有统计学意义（P <0.05）。结论?单纯鼻腔表面麻醉不使用咽腔丁卡因表面麻醉，不会影响电子喉镜检查的顺利完成；不行咽腔表面麻醉的患者，咽部不良反应更少，患者检查后恢复进食快，患者检查全过程的舒适度体验大幅度提高；不使用咽腔麻醉缩短了患者的表面麻醉和等候时间，提高了检查效率，值得推广应用。

Abstract:

Abstract: Objective?To investigate the effect of topical anesthesia of Tetracaine hydrochloride in oropharyngeal cavity on electronic laryngoscopy.?Methods?200 patients with electronic laryngoscopy were randomly divided into two groups by double-blind method, 100 patients in each group. One group was anesthetized with 1.0% Tetracaine in oropharyngeal cavity (control group), and the other group was sprayed with 0.9% normal saline (experimental group). Patients’ responses between the start of topical anesthesia and the end of the examination were evaluated according to self-designed evaluation criteria.?Results?Electronic laryngoscopy was successfully performed in both groups, and the difference in examination time was statistically significant (P < 0.05). The positive rate of pharyngeal discomfort in the control group were higher than those in the experimental group, the pharyngeal discomfort in the control group was more serious than that in the experimental group, it was statistically significant (P < 0.05).?Conclusion?Simple nasal surface anesthesia without oropharyngeal Tetracaine surface anesthesia will not affect the smooth completion of electronic laryngoscopy. Patients without oropharyngeal surface anesthesia had fewer pharyngeal adverse reactions, and the patients recovered into the diet quickly after the examination. The comfort level of the whole process of the examination was greatly improved. Without oropharyngeal anesthesia, the patient’s surface anesthesia and waiting time are shortened, and the examination efficiency is improved.