腹横筋膜阻滞复合膀胱穴贴敷预防全麻苏醒期导尿管源性膀胱刺激症临床观察  

Clinical Observation of Abdominal Transverse Fascia Block Combined with Bladder Acupoint Application in the Prevention of Catheter-Induced Bladder Irritation During the Awakening Period of General Anesthesia

作　　者：张胜 周英 徐小波 王宇 董梅珍 Zhang Sheng;Zhou Ying;Xu Xiaobo;Wang Yu;Dong Meizhen(Department of Anesthesiology,Tonglu County Hospital of Traditional Chinese Medicine,Hangzhou,Zhejiang,China 311500)

机构地区：[1]浙江省桐庐县中医院麻醉科,浙江杭州311500

出　　处：《中国药业》2022年第S02期27-30,共4页China Pharmaceuticals

基　　金：浙江省杭州市卫健委科技项目[B20200400]。

摘　　要：目的探讨腹横筋膜阻滞复合膀胱穴贴敷预防全麻苏醒期导尿管源性膀胱刺激症的临床疗效。方法选取医院2021年收治的全麻苏醒期男性患者120例,按干预方法的不同分为观察组(腹横筋膜阻滞联合膀胱穴贴敷)、单药对照组(膀胱穴贴敷)、空白对照组(无特殊处理),各40例。3组患者分别予不同处理方法。结果观察组患者术后的芬太尼用量显著少于单药对照组、空白对照组(P<0.05),睁眼时间、气管拔管时间显著短于单药对照组及空白对照组(P<0.05),留置导尿管时间显著长于单药对照组及空白对照组(P<0.05)。拔除导尿管即刻及1,2,4 h,观察组患者的数字分级法(NRS)评分均显著低于单药对照组及空白对照组(P<0.05);入室时,导尿管插入时,气管导管拔除后10,30min时,观察组患者的心率、无创血压、平均动脉压均显著低于单药对照组及空白对照组(P<0.05)。观察组患者的导尿管源性膀胱刺激征、导尿管源性躁动发生率均显著低于单药对照组及空白对照组(P<0.05)。结论腹横筋膜阻滞复合膀胱穴贴敷,可一定程度上预防男性全麻苏醒期导尿管源性膀胱刺激症。Objective To investigate the clinical efficacy of abdominal transverse fascia block combined with bladder acupoint application in the prevention of catheter-induced bladder irritation during the awakening period of general anesthesia.Methods A total of 120 male patients during the awakening period of general anesthesia admitted to the hospital in 2021 were selected and divided into the observation group(abdominal transverse fascia block combined with bladder acupoint application group),single drug control group(bladder acupoint application group)and blank control group(no special treatment group)according to the different intervention methods,with 40 cases in each group.The three groups were treated with different methods.Results The dosage of fentanyl used in the observation group was significantly less than that in the single drug control group and the blank control group(P<0.05),the time of eye opening and tracheal extubation in the observation group was significantly shorter than that in the single drug control group and blank control group(P<0.05),the indwelling catheter time in the observation group was significantly longer than that of single drug control group and blank control group(P<0.05).The NRS scores in the observation group were significantly lower than those in the single drug control group and the blank control group(P<0.05).At the time of entering the room,when the catheter was inserted,and at 10min and 30min after the tracheal catheter was removed,the heart rate,non-invasive blood pressure,and mean arterial pressure in the observation group were significantly lower than those in the single drug control group and the blank control group(P<0.05).The incidence of catheter-induced bladder irritation and catheter-induced restlessness in the observation group was significantly lower than that in the single drug control group and the blank control group(P<0.05).Conclusion Abdominal transverse fascia block combined with bladder acupoint application can prevent catheter-induced bladder irritation in mal

关 键 词：全麻苏醒期 男性 导尿管源性膀胱刺激征 腹横筋膜阻滞 膀胱穴位贴敷 

分 类 号：R969.4[医药卫生—药理学] R971.2[医药卫生—药学]