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利多卡因胶浆在全麻手术留置尿管中的应用 被引量:2

The Application of Lidocaine Gelatine in the Catheter of General Anesthesia
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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.
作者 郭静娜 曾国卫 GUO Jing-na;ZENG Guo-wei.(Department of Operating Room, Shenzhen Hospital of Peking University, Shenzhen 518035, Guangdong Province, China)
出处 《罕少疾病杂志》 2017年第6期38-39,共2页 Journal of Rare and Uncommon Diseases
关键词 留置导尿 盐酸利多卡因胶浆 Indwelling Catheter Lidocaine Hydrochloride Paste
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