摘要
目的 探讨在全麻病人术前导尿中盐酸利多卡因胶浆的应用对术后复苏期躁动的影响。方法 60例全身麻醉手术病 人,男42例,女18例,年龄15-78岁,随机分为对照组(石蜡油)和治疗组(利多卡因胶浆)两组,每组30例。两组均 在麻醉诱导后留置尿管,于导尿前后及复苏期病人的血压、心率及复苏期躁动的发生进行评估。结果 治疗组术后 及复苏期的血压心率更为平稳,尿管相关性膀胱不适的发生率明显低于对照组(P<0.01)。结论 盐酸利多卡因胶浆 在术前留置尿管的应用能明显减少尿道刺激征,减少病人躁动,使病人血压心率更平稳,安全渡过复苏期。
Objective To explore the effect of application of lidocaine hydrochloride mucilage to patients with general anesthesia in preoperative catheterization on the restlessness in postoperative recovery. Methods Sixty patients with general anesthesia for surgery, 42 male and 18 female, aged 15-78, were randomly divided into control group (paraffin oil) and treatment group (lidocaine mucilage), with 30 cases in each group. All patients were placed urinary catheters after anesthesia induction. Blood pressure, heart rate and occurrence of restlessness of the patients before and after catheterization and in postoperative recovery were evaluated. Results In the treatment group, blood pressure and heart rate of the patients were more stable, occurrence of the discomfort related to catheter is lower than in the control group (P<0.01). Conclusion The application of lidocaine hydrochloride mucilage in preoperative catheterization could significantly reduce the urinary tract irritation and restlessness of patient, make the blood pressure and heart rate more stable, and the recovery safer.
【关键词】留置导尿;盐酸利多卡因胶浆
【中图分类号】R614.3;R608
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.06.015
前言
为减轻手术病人紧张心理和导尿时的不适,将全 麻病人术前导尿时机改为麻醉诱导后进行[1],却忽略 了留置尿管对尿道的刺激,留置尿管引起的尿管相关 性膀胱不适(Catheter-related bladder discomfort C R B D )是全麻病人术后苏醒期躁动的一个重要原 因[2]。为了减轻导尿引起的不适,减少躁动及其不良 后果,我院应用利多卡因胶浆作为尿道粘膜表面麻醉 剂进行导尿,以减轻尿管相关性膀胱不适而引起的复 苏期躁动,结果报道如下。
罕少疾病杂志
第24卷, 第 6 期
2019年11月
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