| 安小芳,李小颖,王学良,等.1%盐酸丁卡因凝胶在男性患者留置导尿术中的应用效果分析[J].安徽医药,2017,21(9):1666-1668. |
| 1%盐酸丁卡因凝胶在男性患者留置导尿术中的应用效果分析 |
| Application effect of 1% tetracaine hydrochloride gel in male patients with indwelling catheterizationAN Xiaofang1,LI Xiaoying2,WANG Xueliang2,WANG Ling1 (1.Medical Insurance Office,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an,Shaanxi 710061, China；2.Health Science Center,Xi′an Jiaotong University,Xi′an,Shaanxi 710061,China) Abstract:Objective |
| 投稿时间：2017-01-14 |
| DOI： |
| 中文关键词: 盐酸丁卡因凝胶 留置导尿术 石蜡油 躁动、疼痛评分 |
| 英文关键词: Tetracaine hydrochloride gel Indwelling catheterization Paraffin oil Restlessness and pain scores |
| 基金项目: |
|
| 摘要点击次数: 2910 |
| 全文下载次数: 693 |
| 中文摘要: |
| 目的 探讨1%盐酸丁卡因凝胶在男性患者留置导尿术中的应用效果。 方法 选取209例需留置导尿的手术患者按完全随机分组的方法分为观察组(n=107)和对照组(n=102)。观察组采用1%盐酸丁卡因凝胶作为润滑剂行导尿术,对照组采用石蜡油作为润滑剂行导尿术,比较两组患者一次留置尿管成功率、全身麻醉前(T1)和麻醉苏醒期(T2)患者的血压、心率值以及躁动、疼痛评分。 结果 两组患者的一次性置管成功率均较高96.26%(103/107)、93.14%(95/102),差异无统计学意义(P＞0.05)；T2期观察组患者的收缩压、舒张压[(122.96±11.50)、(76.23±6.28) mmHg]显著低于对照组[(146.92±8.92)、(89.48±4.33) mmHg],差异有统计学意义(P＜0.001)；T2期观察组患者的躁动评分、数字分级法(NRS)评分、Wong-Baker面部表情量表法(WBFPS)评分为[(0.80±0.64)、(2.65±0.88)、(1.47±0.49) 分]与对照组评分[(1.25±1.00)、(3.82±1.18)、(2.55±0.88) 分]相比较,差异有统计学意义(P＜0.001)。 结论 在男性患者留置导尿术前应用盐酸丁卡因凝胶润滑尿道及导尿管,效果优于用石蜡油润滑尿道及导尿管。 |
| 英文摘要: |
| Objective To probe into the application of 1% tetracaine hydrochloride gel in male patients with indwelling catheterization. Methods The 209 patients with indwelling catheterization were completely randomized into two groups.The experimental group (n=107) used 1% tetracaine hydrochloride gel as lubricant for urethral catheterization.The control group (n=102) used paraffin oil as lubricant for urethral catheterization.One-time success rate of catheterization,blood pressure,heart rate,agitation and pain scores before general anesthesia (T1) and at awaking time of anesthesia (T2) were compared between the two groups. Results The one-time success rates of catheterization were both high for the two groups,96.26% (103/107) vs 93.14% (95/102)；the difference was not statistically significant (P＞0.05).The diastolic and systolic blood pressure of the experimental group [(122.96±11.50),(76.23±6.28) mmHg]were lower than that of the control group [(146.92±8.92),(89.48±4.33) mmHg] in the T2 phase；the differences were statistically significant (P＜0.001).The agitation score,NRS score,WBFPS score of patients in the experimental group (0.80±0.64,2.65±0.88,1.47±0.49) were lower than those of the control group (1.25±1.00,3.82±1.18,2.55±0.88) in the T2 phase；the differences were statistically significant (P＜0.001). Conclusions The lubrication effect of tetracaine hydrochloride gel in urethra and catheter before the application of indwelling catheterization was better than that of paraffin oil. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
