盐酸利多卡因胶浆用于男性导尿术的研究

目的探讨盐酸利多卡因胶浆用于男性导尿患者尿道表面麻醉的效果及安全性。方法103例患者随机分为:试验组53例和对照组50例。试验组在插管前用2%利多卡因胶浆浸湿棉球润滑导尿管前段,插入尿道约7~8 cm时,向尿管(16 F)内注入盐酸利多卡因胶浆6~8 ml,待2~3 min药液扩散吸收后再继续插入尿管。对照组用传统的石蜡油润滑导尿法。用疼痛视觉模拟评分(VAS)、疼痛行为反应评级评估患者导尿时疼痛的程度,同时监测患者的血压和心率变化。结果2组患者中,VAS评分、疼痛行为反应评级差异有显著性(P<0.01),但心率、血压差异无显著性(P>0.05)。结论在男患者导尿时,于尿管注入盐酸利多卡因胶浆,可起表面麻醉和润滑作用,对尿道黏膜创伤小、无副作用,能明显减轻患者疼痛。

A contrast study about using hydrochloricde lidocaine plasmagel in the urethral catheterization of male patients

Objective To explore the effect of using hydrochloricde lidocaine plasmagel in the urethral catheterization of male patients.Methods Divided 103 patients into the experimental group and the control group randomly.There were 53 cases in the experimental group and using hydrochloricde lidocaine plasmagel for the urethral catheterization.There were 50 cases in the control group and using the traditional paraff in urethral catheterization.Evaluated the pain degree of patients by VAS,and then monitored the blood press and the heart rate at the same time.Results There was a significant difference between these 2 groups in the VAS,P<0.01,while the differences of blood press and the heart rate were not significantly,P>0.05.Conclusion Using hydrochloricde lidocaine plasmagel in the urethral catheterization of male patients is an effective method to alleviate the pain of patients and then decrease the incidence rate of complication.