盐酸利多卡因胶浆在双胎剖宫产产妇导尿中的应用效果

The application effect of lidocaine hydrochloride mucilage in urethral catheterization of twins cesarean section

目的探讨盐酸利多卡因胶浆在双胎剖宫产产妇导尿中的临床疗效。方法将260例拟接受剖宫产手术的双胎妊娠产妇,随机分为对照组和观察组,各130例。对照组采用盐酸利多卡因胶浆无痛导尿,观察组在负压式女性尿道注药器的辅助下使用盐酸利多卡因胶浆无痛导尿,比较两组临床效果。结果观察组插管后收缩压及舒张压、心率均显著低于对照组(P<0.05);观察组治疗后尿细菌培养、导尿24 h疼痛及导尿疼痛率显著低于对照组(P<0.05);观察组治疗后并发症发生率为5.4%(7/130),显著低于对照组的23.8%(31/130),两组比较,差异有统计学意义(P<0.05)。结论双胎剖宫产孕妇导尿中采用盐酸利多卡因效果理想;负压式尿道注药器的辅助更大地提高了尿道药物的保留时间,增强了药物的效果,对血压、心率影响更小,能减少患者疼痛,值得推广应用。

Objective To investigate the clinical efficacy of lidocaine hydrochloride mucilage in urethral catheterization of twins cesarean section. Methods A total of 260 cases planed to receive twins cesarean section were divided into control group and observation group,130 cases in each group. The control group received lidocaine hydrochloride mucilage painless urethral catheterization,and the observation group received lidocaine hydrochloride mucilage assisting by female urethral injection of a negative pressure device.The curative effect was compared. Results The systolic and diasolic blood pressure,heart rate of the observation group were significantly lower than those of control group（ P〈0. 05）. The urine bacterial culture,the 24 h pain of catheterization and the pain rate of observation group were lower than those of control group（ P〈0. 05）. The incidence of complications was 5. 4%（ 7/130） in observation group,significantly lower than23. 8%（ 31/130） in the control group, the difference was statistically significant（ P〈0. 05）.Conclusion The clinical efficacy of the catheterization of twin cesarean section with lidocaine hydrochloride mucilage is good. Assisted with a negative pressure female urethral injection,it can improve the retention time of drug in urethra and enhanced the effect of the drug and reduce the influence of patients＇ blood pressure,heart rate and sense of pain; it is worth to apply widely.