复方利多卡因乳膏辅助导尿预防男性患者全麻苏醒期躁动的效果

An Observation Study on the Reducing of Emergence Agitation by Compound Lidocaine Cream Assisted Catheterization

目的 研究复方利多卡因乳膏辅助导尿预防男性患者全麻苏醒期躁动的作用。方法 40例择期全麻下行经腹腔镜阑尾切除术的男性患者随机分为两组,每组20例,所有患者均在全麻诱导后进行留置导尿。对照组应用石蜡油涂抹导管前端进行常规导尿,实验组应用复方利多卡因乳膏涂抹导管前端进行导尿。观察并记录手术结束时（T0）、气管拔管即刻（T1）、气管拔管后3 min（T2）、气管拔管后10 min（T3）各时间点的MAP、HR,并记录患者苏醒期的躁动情况和尿道刺激症状。结果 T1~T3时刻,观察组与对照组相比较,MAP和HR低于对照组,且差异有统计学意义,全麻苏醒期躁动评分、尿道刺激症状分级的差异有统计学意义。结论 采用复方利多卡因乳膏涂抹导尿管前端可有效减少患者全麻苏醒期躁动,避免血压增高和心率增快,且可减轻留置尿管男性患者术后的尿道刺激症状,明显提高患者的舒适度。

Objective Research compound lidocaine cream auxiliary prevention of male urethral catheterization in patients with general anesthesia to the effect of agitation. Methods 40 male patients undergoing selective thoracic surgery were selected and divided into two groups. Control group using paraffin oil daub routine catheterization catheter front end, the experimental group used compound lidocaine cream daub catheter front of urethral catheterization. Observe and record at the end of surgery （TO）, tracheal extubation immediately （T1）, 3 min after tracheal extubation （3＂2）, 10 min after tracheal extubation （33） each time point of the MAP, HR, and record the patient awakening period of agitation and urinary tract irritation. Results Time T1 ~ T3, observation group compared with control group, the MAP and HR is low- er than the control group, and the difference was statistically significant, general awakening period agitation score, urethral irritation grade difference was statistically significant. Conclusions Using compound lidocalne cream daub catheter front can effectively reduce the patients of general awakening period agitation, avoid increased blood pressure and heart rate increase fast, and can reduce urinary tube male patients＇ postoperative urethral irritation, significantly improve pa- tient comfort.