<正>Objective:To evaluate the effect of diltiazem and lidocaine on arterial pressure or heart rate and the quality of extubation in patients undergoing uvulopalatopharyngoplasty.Methods:Sixty patients were randomly divided into 4 groups:In the control group patients were given saline;in the lidocaine group patients were given 1.0 mg/kg lidocaine;in the diltiazem group patients were given 0.2 mg/kg dilti- azem;and in the lidocaine plus diltiazem group patients were given 1.0 mg/kg lidocaine and 0.2 mg/kg dil- tiazem.These drugs were given 2 min before tracheal extubation.Values for SBP

DBP

and HR were recorded

on arriving at the operating room

immediately at the end of the surgery

at the time of injection of the study drugs

at trachealextubation

at 1 minand 5 min after extubation.The quality ofextubation according to the Sebel’s grading scale were compared among the 4 groups.Results:During extubation in the control group HR

SBP and DBP increased significantly when compared to baseline levels.Both lido- caine（1.0 mg/kg）and diltiazem（0.2 mg/kg）successfully alleviated these increases.The suppressive ef- fect of diltiazem was greater than that of lidocaine.The combinative use of the two drugs minimized the in- creases.The administration of lidocaine significantly suppressed bucking or coughing compared with the other groups.Conclusions:The pressor responses and tachycardia occurring in patients with uvu- lopalatopharyngoplasty during emergence from anesthesia and tracheal extubation

can be easily blocked by a bolus dose of 1.0 mg/kg lidocaine

0.2 mg/kg diltiazem or the combinative use of the two drugs.And the concurrent use of lidocaine and diltiazem alleviated the hemodynamic changes more obviously.