摘要
目的比较2种利多卡因凝胶留置尿管方法对男性患者全身麻醉苏醒期舒适度的影响。方法选择全身麻醉男性患者90例，按照随机数字表法分为试验组和对照组各45例。试验组将利多卡因凝胶注入尿道内表面麻醉后留置尿管，对照组将利多卡因凝胶均匀涂抹于尿管后留置尿管。观察2组患者全身麻醉苏醒期尿管相关膀胱刺激症和躁动的发生情况。结果试验组患者全身麻醉苏醒期尿管相关膀胱刺激症发生级别0、Ⅰ、Ⅱ、Ⅲ级分别为28、14、3、0例，对照组分别为7、23、12、3例，2组比较差异有统计学意义（Z=1 500，P〈0.01）。试验组患者躁动程度发生级别0、Ⅰ、Ⅱ、Ⅲ级分别为27、18、0、0例，对照组分别为7、20、9、9例，2组比较差异有统计学意义（Z=1 435.5，P〈0.01）。结论利多卡因凝胶注入尿道内表面麻醉可以有效提高男性患者全身麻醉苏醒期的舒适度。
ObjectiveTo compare the effects of two kinds of lidocaine gel indwelling catheter on male patients with general anesthesia during recovery period.MethodsA total of 90 cases of male patients with general anesthesia were selected and divided into experimental group and control group by random digits table method,45 cases in each group. The experimental group was given lidocaine gel injection indwelling catheter urethral surface anesthesia, the control group will lidocaine gel evenly to the catheter indwelling catheter. The incidence of catheter related bladder irritation and restlessness were observed during the recovery period of general anesthesia.
ResultsThe incidence of catheter related bladder irritation in grade 0, I, II, III during the recovery period of general anesthesia were 28, 14, 3, 0 cases in the experimental group and 7, 23, 12, 3 cases in the control group, there was significant difference between 2 groups （Z=1 500, P〈0.01）. The incidence of restlessness in grade 0, I, II and III during the recovery period of general anesthesia were 27, 18, 0 and 0 cases, respectively in the experimental group and 7, 20, 9, and 9 cases in the control group, respectively. The difference between the 2 groups was statistically significant （Z=1 435.5, P〈0.01）.ConclusionsLidocaine gel injection into the urethra surface anesthesia can effectively improve the comfort of male patients during the recovery period of general anesthesia.
出处
《中国实用护理杂志》
2017年第35期2742-2744,共3页
Chinese Journal of Practical Nursing
关键词
利多卡因
留置尿管
膀胱刺激征
躁动
Lidocaine
Indwelling catheter
Bladder irritation
Restlessness
