CAJ | 학술논문

目的探讨盐酸利多卡因胶浆在前列腺增生患者导尿术中的应用效果.方法选取80例前列腺增生行导尿术患者,随机分为实验组和对照组各40例.实验组先挤出1～ 2ml盐酸利多卡因胶浆涂于尿道外口,约1 min后将6～8ml盐酸利多卡因胶浆缓缓挤入尿道,待2～3 min药液扩散吸收后再继续插入尿管;对照组采用传统石蜡油润滑导尿法导尿.比较两组患者导尿时疼痛程度、尿道粘膜损伤率、一次导尿成功率等指标.结果实验组一次导尿成功39例(97.5％),对照组一次导尿成功30例(75.0％);实验组尿道粘膜损伤1例(2.5％),对照组尿道粘膜损伤9例(22.5％);实验组导尿时疼痛程度明显低于对照组,差异有统计学意义(P＜0.05).结论在为前列腺增生患者行导尿术时,应用盐酸利多卡因胶浆可以减轻患者痛苦,减少尿道粘膜损伤,提高导尿成功率,提高护理工作效率.
목적 탐토염산리다잡인효장재전렬선증생환자도뇨술중적응용효과.방법 선취80례전렬선증생행도뇨술환자,수궤분위실험조화대조조각40례.실험조선제출1～ 2ml염산리다잡인효장도우뇨도외구,약1 min후장6～8ml염산리다잡인효장완완제입뇨도,대2～3 min약액확산흡수후재계속삽입뇨관;대조조채용전통석사유윤활도뇨법도뇨.비교량조환자도뇨시동통정도、뇨도점막손상솔、일차도뇨성공솔등지표.결과 실험조일차도뇨성공39례(97.5％),대조조일차도뇨성공30례(75.0％);실험조뇨도점막손상1례(2.5％),대조조뇨도점막손상9례(22.5％);실험조도뇨시동통정도명현저우대조조,차이유통계학의의(P＜0.05).결론 재위전렬선증생환자행도뇨술시,응용염산리다잡인효장가이감경환자통고,감소뇨도점막손상,제고도뇨성공솔,제고호리공작효솔.
Objective To investigate the application effect of lidocaine hydrochloride plasmagel in catheterization for patients with prostate hyperplasia.Methods A total of 80 patients with prostate hyperplasia were randomly divided into the test group and the control group,both received catheterization.The test group used lidocaine hydrochloride plasmagel,whereas the control group used liquid paraffin as lubricator.The level of urinary irritation,the injure of urethral mucosa and the one time success rate of urethral catheterization were compared between the two groups.Results The degree of urinary irritation was associated with urethral catheterization.It was significantly lower in the pain and the injury of urethral mucosa in the test group (P ＜ 0.01).And it was significantly higher in the one time success rate in the test group (P ＜ 0.05).Conclusion Application of lidocaine hydrochloride plasmagel as lubricator in catheterization for patients with prostate hyperplasia can reduce the pain and the injury of urethral mucosa,increase the one time success rate and improve the nursing efficiency.