盐酸达克罗宁胶浆和无痛导尿管在全麻导尿中的联合应用

The application of hydrochloric acid dyclonine mucilage combined with painless catheter in urethral catheterization in patients under general anesthesia

目的观察盐酸达克罗宁胶浆和无痛导尿管联合应用在患者全麻苏醒期间减轻导尿管刺激症状的效果。方法选择全身麻醉的成年男性患者60例,随机分成研究组和对照组各30例,研究组注入盐酸达克罗宁胶浆10 m L,对照组注入生理盐水10 m L,观察患者全麻苏醒后尿道的刺激症状和疼痛程度。结果在尿道刺激症状方面,研究组CRBD源性躁动发生率为13.33%,对照组CRBD源性躁动发生率为66.67%,差异有统计学意义(P<0.05);在疼痛程度方面,研究组疼痛发生率为10.00%,对照组疼痛发生率为56.67%,差异有统计学意义(P<0.05)。结论盐酸达克罗宁胶浆和无痛导尿管联合应用可以明显减轻患者全麻苏醒后导尿管的尿道刺激症状和疼痛程度。

Objective To investigate the effect of hydrochloric acid dyclonine mucilage combined with painless catheter on reducing the reaction of urethral catheterization in patients recovering from general anesthesia. Methods Sixty male adults, scheduled for surgery under general anesthesia, were randomly divided into 2 groups (the research group and the control group)with 30 patients in each group. All patients received urethral catheterization with painless catheter after anesthetic induction,and were injected with hydrochloric acid dyclonine mucilage 10 mL(research group) or normal saline 10 mL (control group). The reaction of urethral catheterization was recorded. Results The incidence of CRBD was significantly lower in research group(13.33%) than in control group(66.67%)(P<0.05),and the incidence of pain was also significantly lower in research group(10%) than in control group (56.67%)(P<0.05). Conclusion The application of hydrochloric acid dyclonine mucilage combined with painless catheter can effectively alleviate the reac-tion of urethral catheterization in patients recovering from general anesthesia.