盐酸丁卡因胶浆在ICU患者导尿术中的应用体会  

Tetracaine hydrochloride Jelly on postoperative urethral catheterization of ICU patients

作　　者：罗先海[1] 陈万[1] 苟锡军[1] 

机构地区：[1]成都市新都区人民医院重症医学科,四川成都610500

出　　处：《四川医学》2011年第1期89-90,共2页Sichuan Medical Journal

摘　　要：目的探讨盐酸丁卡因胶浆在ICU患者导尿术中导尿成功率,消除或减轻患者疼痛及躯体不适感的效果。方法选择125例入住ICU患者,随机分为两组:试验组采用盐酸丁卡因作为润滑剂导尿,对照组采用石蜡油作为润滑剂导尿;观察一次性导尿成功率,导尿插管中疼痛及躯体不适感比较,置管后疼痛及躯体不适感比较,置管后漏尿及尿路感染率比较。结果试验组一次性导尿成功率高于对照组(P<0.05);试验组导尿插管中疼痛及躯体不适感、置管后疼痛及躯体不适感均低于对照组(P<0.05);置管后漏尿及尿路感染率比较差异无统计学意义(P>0.05)。结论采用盐酸丁卡因胶浆作为润滑剂导尿,可提高一次性导尿成功率,可减轻或消除ICU患者导尿中及导尿后的疼痛及躯体不适感,不增加漏尿及尿路感染的发生,可在ICU患者导尿术中常规使用。Objective To observe tetracaine hydrochloride Jelly on achievement ratio of urethral catheterization and the effectiveness of elimination or alleviation pain and symptoms of postoperative ICU patients.Methods 125 postoperative ICU patients were randomly selected and divided into two groups.Experimental group were treated with catheterization of tetracaine hydrochloride Jelly as a lubricant,the control group,paraffin oil as lubricant catheterization.To compare the success rate for only once,extent of pain and Physical discomfort,leakage of urine and urinary tract infection.Results Experimental group has a higher success rate for only once of catheterization（P0.05）.lower extent pain and physical discomfort（P0.05）than the control group.But the tube leakage of urine and urinary tract infection rate was not significantly different between two groups（P0.05）.Conclusion Tetracaine hydrochloride Jelly paste as a catheter lubricant,can increase the success rate of one-time catheterization,reduce or eliminate the the pain and discomfort of ICU patients,and can not increase the leakage of urine and urinary tract infection occurred.So it can be routine used in catheterization of ICU patients.

关 键 词：盐酸丁卡因胶浆 ICU患者 导尿术 

分 类 号：R969[医药卫生—药理学]