摘要
目的 探讨盐酸丁卡因胶浆在全麻男性患者导尿中的临床疗效研究.方法 选取2011年1月～2013年1月本院100例全麻男性手术患者,随机分为对照组和研究组.对照组50例在全麻诱导后行无痛导尿术,研究组50例在全麻前清醒状态下用盐酸丁卡因胶浆做尿道表面麻醉后行导尿术.观察比较两组患者的临床疗效、疼痛情况、术后舒适度、患者满意率、一次性置管成功率、麻醉苏醒期躁动发生率、拔除尿管后肉眼血尿发生率、尿路刺激症发生率、尿潴留发生率、尿路感染发生率和尿道损伤发生率等.结果 研究组患者VAS评分、麻醉苏醒期躁动发生率、拔除尿管后肉眼血尿发生率、尿路刺激症发生率、尿潴留发生率、尿路感染发生率和尿道损伤发生率低于对照组（P＜0.05）.研究组患者术后舒适度、患者满意率、一次性置管成功率等高于对照组,差异有统计学意义（P＜0.05）.结论 盐酸丁卡因胶浆在全麻患者导尿,可有效地减轻患者的疼痛、降低麻醉苏醒期躁动发生率、拔除尿管后肉眼血尿发生率、尿路刺激症发生率、尿潴留发生率、尿路感染发生率和尿道损伤发生率,提高患者术后舒适度、患者满意率、一次性置管成功率,值得临床推广.
Objective To investigates the clinical research of urethral catheterization of pontocaine plasmagel using for general anesthesia patients. Methods Choose from January 2011 to January 2011 in our hospital, I00 general anesthe- sia patients were randomly divided into the control group and the research group according to the random number table （rt=50）. The control group had painless urethral catheterization after general anesthesia, while the research group used pontocaine plasmagel awake before anesthesia with tetracaine hydrochloride mucilage line of urethral catheterization for urethral surface anesthesia team awake, The postoperative comfort, the patients＇ satisfaction, one-time success rate of catheter, anesthesia awakening period agitation rate, root out the urine tube naked eye hematuria incidence, the inci- dence of urinary irritation symptoms after brand, urine firm leave incidence rate, incidence of urinary tract infection and urinary tract injury were compared. Results The team VAS score, anesthetic revival period after incidence of rest- lessness and urethral duct to the naked eye hematuria incidence, the incidence of urinary irritation symptoms brand, urine firm leave the incidence, the incidence of urinary tract infection and urinary tract injury incidence rate in the re- search group were lower than the control group, the differences were statistically significant （P 〈 0.05）.The team one- time success rate of catheter, anesthesia awakening period agitation rate in the research group were higher than the control group, the differences were statistically significant （P〈0.05）. Conclusion Tetracaine hydrochloride mucilage in patients with general anesthesia catheterization can effectively relieve patients＂ pain, reducing the incidence of anes- thetic revival period agitation, pulling the urine tube to the naked eye hematuria incidence, the incidence of urinary ir- ritation symptoms after brand, urine firm to keep the incidence rate, incidence of urinary tract infection and urinary tract injury and improve the postoperative patients with comfort, patient satisfaction, one-time success rate of catheter, worth clinical promotion.
出处
《中国现代医生》
2014年第9期89-91,95,共4页
China Modern Doctor
基金
浙江省继续医学教育项目(2011-04-11-007)
关键词
盐酸丁卡因胶浆
全麻
导尿
Pontocaine plasmagel
Ger, eral anesthesia
Urethral catheterization
