文档介绍：甘肃医药2014年第33卷第5期 GansuMedicalJoumal,2014,, 地佐辛在局麻手术病人无痛导尿中的临床应用 341· 剥、金华【摘要】目的:比较手术患者在使用表面麻醉、基础麻醉和两者联合用药后留置尿管对患者生理干扰程度、尿道粘膜损伤情况及插管是否顺利,探讨局部麻醉手术病人无痛导尿的可行性。方法:选择在局部麻醉下行胸腰椎骨折切开复位、减压固定的男性患者90 例,将患者随机分为3组(每组30例),1组(表麻组),2组(强化组)和3组(表麻加强化组),各组用不同方法行留置尿管操作。结果:1 组和2组在导尿前、中、后的心率、血压均升高明显(P<),尿道损伤者较多,肉眼血尿或镜下血尿发生率也较高,患者疼痛明显。3 组在导尿前、中、后的心率、血压均变化不明显,组内差异无统计学意义(尸>),尿道损伤几率较小。结论:单一的表麻或基础麻醉对男性患者都不能达到基本无痛状态下的导尿操作,只有将二者联合应用,才能实现导尿时无疼痛的感觉?。【关键词】地佐辛;局部麻醉;手术;无痛导尿文献标识码:A 文章编号:1004—2725(2014)05—0341—03 一 Clinical叩plicationofDezocineinpainlesscatheterizationunderlocalanesthesiainsurgerySUNJin—huaDepartmentof Anesthesiology,’SHospital,GansuTianshui741000,China 【Abstract】0bjective:paretheindwellingcathetereffectofsurfaceanesthesia,basic binationofbothforpatientphysiologicaldisturbance,urinarytractmucosalinjuryandintubationsmoothness,andto malepatientsofthoracolumbarfracturesopenreduction,pressionandfixationunderlocalanesthesia,andrandomlydividethem intothreegroups(eachwith30patients),group1(surfaceanesthesiagroup),group2(basicanesthesiagroup)andgroup3 (combinationofsurfaceanesthesiaandbasicanesthesia),eachofwhichusesdifferentmethodsofindwellingcatheterlineoperation. Resultsshowthatingroup1andgroup2,before,duringandaftercatheterization,theheartrateandblo