前列腺增生患者应用利多卡因及石蜡油导尿的效果观察

目的观察利多卡因、石腊油用于前列腺增生患者导尿的临床效果。方法 80例前列腺增生患者随机分为两组(各40例),对照组采用常规导尿法,观察组在常规导尿法的基础上加用尿道内灌注利多卡因、液体石蜡润滑剂的导尿方法。两组均以有无疼痛、一次性插管成功和尿道损伤为判断指标。结果在导尿时有无疼痛、一次性插管成功率和尿道损伤方面,两组比较均有显著性差异(均P<0．05),其中观察组明显优于对照组。结论利多卡因、石腊油用于前列腺增生患者导尿,可明显减轻插管时的疼痛和尿道损伤及提高导尿成功率。

Objective To survey the effect of lidocaine and liquid paraffin used in urinary catheterization for patients with hyperplastic prostate, Mtthods 80 patients were randomly divided into two groups, with 40 eases each in the treatment group and the control group. The catheterization was conducted conventionally in the control group;lidocaine and liquid paraffin was injected into urethra before catheterization in the treatment group.The judging standards were pain and one-off Success and damnification of urethra in catheterization. Result There were significant differences about pain and one-off success and damnification of urethra in tow groups（all of P 〈 0.05）. Conclusins Lidocaine and liquid paraffin are able to lessen the pain and damnification of urethra in urinary catheterization for the patients with hyperplastic prostate, They markedly increase the success rate of catherization,