摘要
目的探讨经改进型导尿管注入丁卡因胶浆在男性导尿中的应用效果。方法选取2018年1月至2020年7月中国人民解放军联勤保障部队第九〇八医院麻醉科收治的85例全麻下行经皮肾镜碎石取石的患者为研究对象,按照随机数字表法分为对照组(42例)和治疗组(43例)。对照组使用液体石蜡油进行润滑,治疗组患者使用盐酸丁卡因胶浆进行润滑,比较两组患者的不良反应发生情况,导尿时(T1)、复苏期(T2)、拔出气管导管后10 min(T3)的平均动脉压(MAP)、心率(HR)水平,苏醒期躁动评分。结果治疗组不良反应总发生率为2.33%,低于对照组的33.33%,差异有统计学意义(P<0.05)。T1时,两组MAP、HR比较,差异无统计学意义(P>0.05);T2、T3时,治疗组的MAP、HR均低于对照组,差异有统计学意义(P<0.05)。治疗组的苏醒期躁动评分情况优于对照组,差异有统计学意义(P<0.05)。结论经改进型导尿管注入丁卡因胶浆能有效缓解男性导尿留置导尿管的不适感,改善术后麻醉苏醒期躁动,稳定术后MAP及HR,利于术后恢复。
Objective To investigate the effect of improved urinary catheter injection of tetracaine mucilage in male catheterization.Methods A total of 85 patients undergoing percutaneous nephrolithotomy under general anesthesia in the Department of Anesthesiology,No.908 Hospital of Joint Logistic Support Force of the People′s Liberation Army from January 2018 to July 2020 were selected as the research subjects.According to random number table method,they were divided into control group(42 cases)and treatment group(43 cases).The control group was lubricated with liquid paraffin oil,and the treatment group was lubricated with tetracaine hydrochloride mucilage.The incidence of adverse reactions between the two groups was compared,including average arterial pressure(MAP)and heart rate(HR)during catheterization(T1),resuscitation(T2),10 min after tracheal catheter removal(T3),and agitation score during resuscitation.Results The total incidence of adverse reactions in the treatment group was 2.33%,lower than 33.33%in the control group,and the difference was statistically significant(P<0.05).At T1,there were no significant differences in MAP and HR between the two groups(P>0.05).At T2 and T3,MAP and HR of the treatment group were lower than those of the control group,with statistical significance(P<0.05).The resuscitation agitation score of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The injection of tetracaine mucilage into the improved urethral catheter can effectively relieve the discomfort of the indwelling urethral catheter in men,improve the agitation during postoperative anesthesia recovery,stabilize postoperative MAP and HR,and facilitate postoperative recovery.
作者
胡平
孟海兵
谢丹
梁桂金
HU Ping;MENG Hai-bing;XIE Dan;LIANG Gui-jin(Department of Anesthesiology,No.908 Hospital of Joint Logistic Support Force of the People′s Liberation Army,Jiangxi Province,Nanchang330000,China)
出处
《中国当代医药》
CAS
2021年第28期111-113,共3页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202131129)。
关键词
男性导尿
导尿管
丁卡因胶浆
心率
平均动脉压
不良反应
Male urinary catheterization
Urinary catheter
Tetracaine jelly
Heart rate
Mean arterial pressure
Adverse reaction
