摘要
目的对比奥布卡因与石蜡油干预在男性全麻手术患者苏醒期导尿管留置中的应用效果。方法选取本院2021年4~10月收治的60例男性全麻手术患者为研究对象,按照随机数表法将患者分为A组和B两组,分别为28例、32例,A组患者经尿道注入奥布卡因胶浆后留置导尿管,B组实施石蜡油干预留置导尿管。比较两组患者血流动力学变化、苏醒期躁动程度、导尿管刺激程度,以及术后1h、6h、12h的疼痛情况。结果记录麻醉诱导前(T_(0))时刻,两组HR、MAP无显著差异(P>0.05),麻醉诱导即刻(T_(1))~拔管后10min(T_(4))时段,A组MAP、HR水平显著高于B组,差异有统计学意义(P<0.05),但与T_(0)时刻比较无显著差异(P>0.05);T_(1)~T_(4)时段,B组MAP、HR水平显著高于T_(0)时刻(P<0.05),差异有统计学意义(P<0.05);A组T_(1)~T_(4)时段MAP、HR水平显著低于B组相同时间节点(P<0.05);A组患者苏醒期中、重度躁动发生率(12.50%)显著低于B组(35.71%),A组患者苏醒期导尿管刺激得分≥2分发生率(18.75%)明显低于B组(71.43%),差异有统计学意义(P<0.05);A组术后1h、6h、12h VAS评分均低于B组,且差异有统计学意义(P<0.05)。结论在男性全麻手术患者苏醒期导尿管留置中应用奥布卡因效果显著,有利于维持血流动力学稳定,可减少患者苏醒期躁动和导尿管刺激,缓解术后疼痛。
Objective To compare the effect of obukaine and paraffin oil intervention on male patients undergoing general anesthesia during the awakening period.Methods 60 male general anesthesia patients admitted to our hospital from April to October 2021 were selected as the research objects.According to the random number table method,the patients were divided into two groups,group A and group B,28 cases and 32 cases respectively.Patients in group A were indwelling catheters after injecting obukaine glue through the urethra,and patients in group B were indwelling catheters after wax oil intervention.Hemodynamic changes,agitation during awakening,catheter stimulation and pain at 1H,6h and 12h after operation were compared between the two groups.Results There was no significant difference in HR and map between the two groups before anesthesia induction(T_(0))(P>0.05).The map and HR levels in group A were significantly higher than those in group B during the period from immediately after anesthesia induction(T_(1))to 10 minutes after extubation(T_(4))(P<0.05),but there was no significant difference between the two groups at t0(P>0.05);From T_(1) to T_(4),the levels of map and HR in group B were significantly higher than those at t0(P<0.05),and the difference was statistically significant(P<0.05);The levels of map and HR in group A during T_(1)~T_(4) were significantly lower than those in group B at the same time point(P<0.05);The incidence of moderate and severe agitation in group A(12.50%)was significantly lower than that in group B(35.71%),and the incidence of urethral catheter stimulation score≥2 in group A(18.75%)was significantly lower than that in group B(71.43%),and the difference was statistically significant(P<0.05);VAS scores at 1H,6h and 12h after operation in group A were lower than those in group B,and the difference was statistically significant(P<0.05).Conclusion The application of albucaine in the indwelling of urethral catheter in male patients undergoing general anesthesia during the awakening period is effective,which is beneficial to maintain the stability of hemodynamics,reduce the agitation and urethral catheter stimulation during the awakening period,and alleviate postoperative pain.
作者
袁玉环
叶花雨
何乐雯
王惠
张晓霞
周丽君
YUAN Yuhuan;YE Huayu;HE Lewen;WANG Hui;ZHANG Xiaoxia;ZHOU Lijun(Operating Room,Heping County People's Hospital,Heyuan,Guangdong 517200)
出处
《智慧健康》
2022年第31期151-154,共4页
Smart Healthcare
基金
河源市科技计划项目申报书《奥布卡因与石蜡油干预在男性全麻手术患者苏醒期导尿管留置中的应用效果对比》(项目编号:210809081607655)。
关键词
奥布卡因
石蜡油
全麻手术
留置导尿管
Obukaine
Paraffin oil
General anesthesia operation
Indwelling catheter