无痛导尿管联合利多卡因可减轻术后导尿管引起的尿道刺激症状

目的研究无痛导尿管联合利多卡因行膀胱冲洗对患者术后留置导尿管引起的尿道刺激症状的疗效。方法将2011年6月～2012年1月男性患者,在我科行手术治疗,术后留置导尿管的患者分为两组,每组病例60人,第1组患者采用无痛导尿管联合利多卡因,术后第1天将利多卡因配生理盐水行膀胱冲洗,第2组患者采用普通导尿管,不行利多卡因配生理盐水膀胱冲洗,观察术后患者出现尿道刺激症状(尿道疼痛,尿急,会阴部不适等)情况。结果第1组患者出现尿道刺激症状的患者人数11人,其余患者无特殊不适,第2组患者出现尿道刺激症状的患者人数约24人,其余患者无特殊不适,两组数据资料,具有明显的统计学差异(P<0.05)。结论无痛导尿管联合利多卡因行膀胱冲洗可明显减轻术后留置导尿管给患者带来的尿道刺激症状,值得临床推广应用。

Effect of painless urethral catheterization combined with lidocaine on urethral irritation

Objective To evaluate the effect of placement of urethral catheter combined with lidocaine on urethral irritation caused by postoperative indwelling catheters.Methods A total of 120 male surgical patients requiring postoperative indwelling catheters between June 2011 and January 2012 were divided into two equal groups for placement of painless urethral catheter combined with bladder washing with lidocaine on the first postoperative day,or for routine catheter placement only.The symptoms of urethral irritation such as urethral pain,urinary urgency,and perineal discomforts were observed and compared between the two groups.Results In patients with painless urethral catheter placement combined with bladder washing with lidocaine,11 developed urethral irritation symptoms,as compared to 24 in the patients with routine catheter placement only,showing a significant difference between the two groups(P<0.05).Conclusion Placement of painless urethral catheter combined with bladder washing with lidocaine can significantly reduce the incidence of urethral irritation due to postoperative indwelling catheters.