布托菲诺联合盐酸丁卡因胶浆辅助导尿防治颌面整形术后导尿管源性膀胱不适

发布时间：2018-07-02 08:29

本文选题：布托菲诺 + 盐酸丁卡因胶浆　；参考：《口腔医学研究》2016年11期

【摘要】：目的:观察布托菲诺联合盐酸丁卡因胶浆辅助导尿对全麻颌面整形术后男性患者导尿管源性膀胱不适(cather-related bladder discomfort,CRBD)的影响。方法:择期全麻颌面整形术男性患者90例,随机分为3组:传统导尿组(A组)、盐酸丁卡因胶浆导尿组(B组)、布托菲诺联合盐酸丁卡因胶浆导尿组(C组)。分别在手术结束拔除气管导管即刻(0h)和拔管后1、2、3、6h记录患者平均动脉压,心率以及手指血氧饱和度的改变;进行CRBD评分以及苏醒期躁动评分。结果:与A组相比,拔除气管导管即刻0h和拔管后1h,B、C两组CRBD评分以及苏醒期躁动评分均明显降低(P0.05);与B组相比,拔除气管导管即刻0h和拔管后1h,C组CRBD评分以及苏醒期躁动评分降低,血液动力学平稳,差异有统计学意义(P0.05),3组患者手指血氧饱和度均在96%以上,差异无统计学意义。结论:布托菲诺联合盐酸丁卡因胶浆辅助导尿有效减少全麻苏醒时和苏醒后1h时CRBD症状的发生,明显减少苏醒期躁动。
[Abstract]:Objective: to observe the effect of butorfinol combined with tetracaine hydrochloride glue on cather-related bladder discompost bladder discomfort (CRBD) in male patients after general anesthesia and maxillofacial surgery. Methods: 90 male patients undergoing elective general anesthesia and maxillofacial surgery were randomly divided into three groups: traditional catheterization group (group A), tetracaine hydrochloride gel catheterization group (group B) and butorfinol combined with tetracaine hydrochloride gel catheterization group (group C). The mean arterial pressure, heart rate and finger oxygen saturation were recorded immediately (0 h) after extubation and 3 h after extubation, CRBD score and restlessness score during recovery were performed. Results: compared with group A, CRBD scores and restlessness scores in group B and B were significantly lower than those in group A at 0 h after extubation and 1 hour after extubation (P0.05), compared with group B, CRBD scores were significantly lower than those in group B (P < 0.05). The CRBD score and restlessness score in group C were decreased at 0 h after extubation and 1 hour after extubation, and the hemodynamics was stable. The difference was statistically significant (P0.05) the oxygen saturation of fingers was above 96% in group C (P0.05), the difference was not statistically significant. Conclusion: butorfinol combined with tetracaine hydrochloride glue assisted catheterization can effectively reduce the occurrence of CRBD symptoms and reduce restlessness during general anesthesia and 1 hour after recovery.
【作者单位】：武汉大学口腔医院麻醉科;
【分类号】：R782.054

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