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作 者:王芳芳[1] 王芳平 姬忠娟 张莉[1] WANG Fangfang;WANG Fangping;JI Zhongjuan;ZHANG Li(Department of Anesthesia Surgery,Gansu Provincial Hospital,Lanzhou,Gansu,730030,China;Department of General Surgery,the Third People's Hospital of Gansu Province,Lanzhou,Gansu,730020,China)
机构地区:[1]甘肃省人民医院麻醉手术科,甘肃兰州730030 [2]甘肃省第三人民医院普外科,甘肃兰州730020
出 处:《当代医学》2023年第18期103-105,共3页Contemporary Medicine
摘 要:目的探究盐酸利多卡因胶浆导尿对降低全身麻醉苏醒期男性患者躁动的疗效。方法选取2020年3—10月于本院行腹部手术的124例全身麻醉男性患者作为研究对象,随机分为两组,每组62例。对照组行常规导尿,实验组行盐酸利多卡因胶浆导尿,比较两组躁动率、导尿管耐受性。结果实验组无躁动占比为66.2%,高于对照组的45.2%,躁动占比为33.8%,低于对照组的55.8%,差异有统计学意义(P<0.05);两组中度躁动、重度躁动占比比较差异无统计学意义。实验组耐受占比为77.4%,明显高于对照组的58.1%,差异有统计学意义(P<0.05);两组中等耐受及不耐受占比比较差异无统计学意义。结论盐酸利多卡因胶浆导尿对降低全身麻醉苏醒期男性患者躁动的疗效显著,可明显降低患者躁动、疼痛程度,增加不适耐受性,值得临床推广应用。Objective To explore the effect of lidocaine hydrochloride gel plasma catheterization in reducing restlessness in male patients during general anesthesia recovery period.Methods A total of 124 male patients with general anesthesia recovery period who underwent abdominal surgery in our hospital from March to October 2020 were randomly divided into the two groups,with 62 cases in each group.The control group underwent routine catheterization,and the experimental group underwent lidocaine hydrochloride gel plasma catheterization,the agitation rate and catheter tolerance were compared between the two groups.Results The proportion of no agitation in the experimental group was 66.2%,which was higher than 45.2%in the control group,and the proportion of agitation was 33.8%,which was lower than 55.8%in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the proportion of moderate agitation and severe agitation between the two groups.The tolerance rate in the experimental group was 77.4%,which was significantly higher than 58.1%in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the proportion of moderate tolerance and intolerance.Conclusion Lidocaine hydrochloride gel plasma catheterization has significant effect on reducing restlessness in male patients during general anesthesia recovery period,which can significantly reduce the degree of restlessness and pain and increase discomfort tolerance,which is worthy of clinical promotion and application.
关 键 词:盐酸利多卡因胶浆 导尿 全身麻醉苏醒期男性患者 躁动
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