复方利多卡因乳膏辅助导尿改善全身麻醉苏醒期躁动的观察研究

An observational study on the improvement of post-op agitation by compound lidocaine cream assisted catheterization

目的探索复方利多卡因乳膏辅助导尿在改善全身麻醉苏醒期躁动的临床价值。方法 2009年5月～2011年4月对本院88例实施全麻胸腔镜下单侧肺大泡切除术的男性患者随机分组,实验组行复方利多卡因乳膏辅助导尿,对照组行传统导尿术。分别在术后拔除气管插管5min、10min进行苏醒期躁动评分,统计分析两组躁动评分情况。结果利多卡因乳膏辅助导尿组躁动评分低于传统导尿组,P<0.05,差异有统计学意义。结论复方利多卡因乳膏辅助导尿可有效改善全麻术后苏醒期患者因留置导尿管而产生的尿痛、异物感和排尿感,从而显著降低苏醒期躁动,减少苏醒期不良事件的发生。

Objective To discuss the clinical value of compound lidocaine cream assisted catheterization in reducing of post-op general anesthesia agitation.Methods From May 2009 to April 2011,88 male patients were conducted general anesthesia and unilateral thoracoscopic resection of bullae in our hospital.They were randomly assigned to trail group（compound lidocaine cream catheterization） and control（traditional catheterization）.Record and statistically analyzed the agitation scores of both groups 5 min and 10 min after extubation.Results The agitation score was lower in the trail group,P0.05,significantly difference.Conclusion Compound lidocaine cream assisted catheterization can effectively improve the agitation score in waking period of post general anesthesia patients,and reduce the risk of adverse events.