盐酸奥布卡因凝胶在经鼻肠梗阻导管置入术中的应用价值

目的探讨肠梗阻病人行经鼻肠梗阻导管置入术中应用盐酸奥布卡因凝胶的价值。方法将60例拟行经鼻肠梗阻导管置入术的肠梗阻病人按随机数字量表法分为研究组和对照组,每组各30例,研究组病人术前应用盐酸奥布卡因凝胶10 ml(30 mg)进行鼻腔麻醉及导管前端润滑,对照组病人术前于鼻腔及导管前端涂抹石蜡油进行润滑,比较两组病人的一次性置管成功率、置管时间及术后并发症发生率,并采用视觉模拟评分法(visual analogue scale,VAS)进行评分。结果研究组病人的一次性置管成功率为96.7%(29/30),对照组病人的一次性置管成功率为70.0%(21/30),差异有统计学意义(P<0.05)。与对照组比较,研究组病人置管所用时间明显减少,术中疼痛VAS评分降低,差异均有统计学意义(均P<0.05)。两组病人均未出现穿孔、出血等并发症。结论盐酸奥布卡因凝胶在肠梗阻病人行经鼻肠梗阻导管置入术中应用,提高了一次性置管成功率,减少置管所用时间,明显地减轻了病人术中的疼痛不适,未见并发症,效果满意。

Application of oxybuprocaine hydrochloride gel in placement of nasal ileus tube

Objective To investigate the value of oxybuprocaine hydrochloride gel in patients with intestinal obstruction undergoing transnasal ileus catheter implantation.Methods 60 patients who planned to receive the placement of nasal ileus tube were randomly divided into experimental group and control group,with 30 cases in each group.The patients in the study group were premedicated with oxybuprocaine hydrochloride 10 ml(30 mg)for nasal anesthesia and catheter tip lubrication.The patients in the control group were premedicated with paraffin oil for nasal and catheter tip lubrication.One-time success rate of catheterization,catheterization time,visual analogue pain score(VAS)and postoperative complications were compared between the two groups.Results In the experimental group,the one-time success rate of catheterization(96.7%)was higher than that of the control group(70.0%),and the catheterization time was significantly shorter than the control group.The pain score in the experimental group was lower than that of the control group.The difference was statistically significant(P<0.05).Conclusion The application of oxybuprocaine hydrochloride gel in the transnasal ileus catheterization in patients with intestinal obstruction can improve the success rate of one-time catheterization,reduce the time of catheterization,significantly reduce the pain and discomfort of patients during the operation without complications and the effect is satisfactory.