摘要
目的观察盐酸达克罗宁胶浆涂抹导尿管表面并尿道注入后进行导尿对全麻苏醒期导尿管源性躁动的临床效果。方法选取2017年10月1日-31日妇科和肝胆科在全身麻醉诱导后留置导尿的患者305例作为观察组,在尿管表面均匀涂抹盐酸达克罗宁胶浆并尿道注入,无菌操作下行留置导尿,术毕进入麻醉恢复室进行复苏留观。另选择2017年9月1日-30日采用常规方法留置尿管的患者359例作为对照组,比较2组患者导尿管源性躁动不适、药物不良反应发生率、手术室护士插管成功率、麻醉复苏室(PACU)护士的满意度。结果观察组患者导尿管源性躁动不适发生率低于对照组(P<0.05),2组均未见药物不良反应;观察组手术室护士插管成功率、PACU护士满意度均高于对照组(P<0.05)。结论全身麻醉诱导后在导尿管表面涂抹盐酸达克罗宁胶浆并尿道注入后进行尿管置入,可有效解决苏醒期导尿管源性躁动。
Objective To observe the clinical effect of urethral catheterization by smearing urethral catheter surface with dacronin hydrochloride glue and injecting urethra into urethra.Methods 305 patients of gynecology and hepatobiliary department who were induced by general anesthesia from October 1 to 31,2017 were selected as the observation group,the urethral catheterization was performed by evenly smearing dacronin hydrochloride glue on the surface of the urethral tube and injecting the urethra into the urethra,after operation into the anesthesia recovery room for resuscitation stay.359 patients of routine method from September 1 to 30,2017 were selected as control group.The restlessness and discomfort caused by indwelling catheter after induction of general anesthesia,the incidence of adverse drug reactions,successful rate of catheterization of operating room nurses,and satisfaction of nurses in post-anesthesia care unit(PACU)were compared between the two groups.Results The incidence of urethral restlessness in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There were no adverse drug reactions in both groups.The success rate of intubation in the operating room and the satisfaction of PACU nurses in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion After the induction of general anesthesia,the urethral catheter was treated with dacronin hydrochloride glue and urethral injection,which effectively solved the restlessness of urethral catheter during the recovery period.
作者
吕冬梅
LV Dongmei(Department of Anesthesiology,Successful Hospital Affiliated to Xiamen University/174 Hospital of PLA,Fujian Province,Xiamen 361003,China)
出处
《临床合理用药杂志》
2019年第31期24-25,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
导尿管源性躁动
全身麻醉
苏醒期
盐酸达克宁胶浆
Urethral catheterization
General anesthesia
Awakening period
Dyclonine hydrochloride mucllage
