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盐酸利多卡因胶浆在双胎剖宫产产妇导尿中的应用效果▲
The application effect of lidocaine hydrochloride mucilage in urethral catheterization of twins cesarean section

微创医学 201605期 页码:710-712

作者机构:广西柳州市妇幼保健院麻醉科,柳州市545001

基金信息:▲基金项目:广西壮族自治区卫生和计划生育委员会科研课题(编号:Z2015187)。专利号:ZL 2015 2 0571057.7
作者简介:陈巧文(1980 ~),女,学士,主管护师,研究方向:手术室护理与导尿管理研究。

DOI:DOI:10.11864/j.issn.1673.2016.05.17

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨盐酸利多卡因胶浆在双胎剖宫产产妇导尿中的临床疗效。方法将260例拟接受剖宫产手术的双胎妊娠产妇,随机分为对照组和观察组,各130例。对照组采用盐酸利多卡因胶浆无痛导尿,观察组在负压式女性尿道注药器的辅助下使用盐酸利多卡因胶浆无痛导尿,比较两组临床效果。结果观察组插管后收缩压及舒张压、心率均显著低于对照组(P<0.05);观察组治疗后尿细菌培养、导尿24 h疼痛及导尿疼痛率显著低于对照组(P<0.05);观察组治疗后并发症发生率为5.4%(7/130),显著低于对照组的23.8%(31/130),两组比较,差异有统计学意义(P<0.05)。结论双胎剖宫产孕妇导尿中采用盐酸利多卡因效果理想;负压式尿道注药器的辅助更大地提高了尿道药物的保留时间,增强了药物的效果,对血压、心率影响更小,能减少患者疼痛,值得推广应用。
ObjectiveTo investigate the clinical efficacy of lidocaine hydrochloride mucilage in urethral catheterization of twins cesarean section. MethodsA total of 260 cases planed to receive twins cesarean section were divided into control group and observation group, 130 cases in each group. The control group received lidocaine hydrochloride mucilage painless urethral catheterization, and the observation group received lidocaine hydrochloride mucilage assisting by female urethral injection of a negative pressure device. The curative effect was compared. ResultsThe systolic and diasolic blood pressure, heart rate of the observation group were significantly lower than those of control group (P<0.05). The urine bacterial culture, the 24h pain of catheterization and the pain rate of observation group were lower than those of control group (P<0.05). The incidence of complications was 5.4%(7/130) in observation group, significantly lower than 23.8%(31/130) in the control group, the difference was statistically significant (P<0.05). ConclusionThe clinical efficacy of the catheterization of twin cesarean section with lidocaine hydrochloride mucilage is good. Assisted with a negative pressure female urethral injection, it can improve the retention time of drug in urethra and enhanced the effect of the drug and reduce the influence of patients′ blood pressure, heart rate and sense of pain;it is worth to apply widely.

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