利多卡因联合硝酸甘油预防桡动脉痉挛的临床观察

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Abstract ObjectiveTo investigate the clinical effect of Lidocaine combined with Nitroglycerin in the prevention of radial artery spasm.Methods77 patients with transradial coronary angiography from January to August 2017 treated in our hodpital were selected as study objects.They were divided into control group(38 cases)and test group(39 cases)by single and even number grouping method.Control group was treated with 200 μg Nitroglycerin alone,and the test group was treated with 20 mg Lidocaine combined with 200 μg Nitroglycerin.The incidence rate of radial artery spasm,puncture success rate,puncture frequency,operation success rate and pain degree(VAS)score of two groups were compared and analyzed.ResultsThe incidence of radial artery spasm in the test group (0.00%)was lower than that in the control group(13.16%),the difference was statistically significant(P＜0.05).The puncture success rate(97.44%),puncture frequency[(1.05±0.36)times],operation success rate (89.74%)in the test group were lower than those in the control group [73.68%,(2.15±0.34)times,68.42%],the differences were statistically significant(P＜0.05).The VAS score in the test group[(3.56±0.54)points]was significantly lower than that in the control group[(5.64±0.24)points],and the difference was statistically significant(P＜0.05).ConclusionLidocaine combined with Nitroglycerin can reduce the incidence of radial artery spasm in patients with CAG,with high success rate of puncture and the pain is low.It is worthy of clinical application.

Key words： Nitroglyc Radial artery spasm Prevention Lidocaine

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	XU Jin
	YE Fei
	JIANG Yong

Cite this article:

XU Jin,YE Fei,JIANG Yong. Observation the clinical effect of Lidocaine combined with Nitroglycerin in the prevention of radial artery spasm[J]. 中国当代医药, 2017, 24(30): 102-104.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I30/102

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