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近体温利多卡因生理盐水膀胱冲洗液 对前列腺激光剜切术后膀胱痉挛的疗效研究
作者:万里 王勇? 李素琼 曹景朝 肖川 易正金 刘翔宇 李鑫 王树斌 降初拉姆 
单位:攀钢集团总医院泌尿外科 四川 攀枝花 617023 
关键词:前列腺激光剜切术 持续膀胱冲洗 膀胱冲洗液 膀胱痉挛 前列腺增生 
分类号:R 694
出版年,卷(期):页码:2020,37(5):499-501
摘要:

摘要:目的 研究近体温利多卡因生理盐水膀胱冲洗液对前列腺激光剜切术后膀胱痉挛的疗效。方法 选取100例良性前列腺增生行激光剜切术患者,按随机数字表法分为近体温利多卡因组、常温利多卡因对照组、常温盐水空白对照组及近体温盐水空白对照组,每组各25例。比较4组术后24 h内膀胱痉挛发作情况、视觉疼痛评分、术后出血量及利多卡因不良反应发生率。结果 近体温利多卡因生理盐水膀胱冲洗液冲洗期间,术后24 h内膀胱痉挛的发生次数最少,持续时间最短,发作总体时间最短;4组间术后出血量、利多卡因不良反应发生率比较,差异均无统计学意义(均P>0.05)。结论 前列腺激光剜切术后,应用近体温利多卡因生理盐水膀胱冲洗液进行持续膀胱冲洗,可减轻患者痛苦,具有良好的临床推广价值。

 Abstract:Objective To study the therapeutic effect of bladder irrigation with lidocaine saline at near-body temperature on bladder spasm after laser enucleation of prostate. Methods 100 patients with benign prostatic hyperplasia underwent laser enucleation of prostate were randomly divided into near-body temperature lidocaine group, normal temperature lidocaine control group, normal temperature saline blank control group and near-body temperature saline blank control group, 25 cases in each group. The frequency of bladder spasm, the visual analogue scale(VAS), the postoperative bleeding and the incidence of side effects of lidocaine among the four groups were compared. Results During the bladder irrigation with lidocaine saline at near-body temperature, the incidence of bladder spasm was the smallest, the duration was the shortest, and the overall duration was the shortest within 24 hours after the operation; the postoperative bleeding volume, the incidence of adverse reactions of lidocaine among the four groups were compared, the differences were not statistically significant(all P>0.05). Conclusion After laser enucleation of prostate, continuous bladder irrigation with lidocaine saline at near-body temperature can relieve patients' pain and has good clinical promotion value.

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参考文献:

 参考文献

[1] Chapple CR,Roehrborn CG. A shifted paradigm for the further understanding,
evaluation,and treatment of lower urinary tract symptoms in men:focus
on the bladder[J]. Eur Urol,2006,49(4):651-658.
[2] 阴正坤,刘永胜.经尿道前列腺电切术与1470 nm半导体激光汽化术治疗前列腺增生的效果[J]. 中国性科学,2019,28(3):25-28.
[3] 赵正杰,陈立平.膀胱冲洗液温度对前列腺电汽化术后出血量与膀胱痉挛的影响[J]. 中国医药指南,2018,16(22):50-51.
[4] 张琼珍.不同温度冲洗液对前列腺电切术患者的影响[J]. 中国医药导报,2016,13(27):99-102.
[5] Cheng SH,Nian YQ,Ding M,et al. Phloroglucinol combined with parecoxib
for cystospasm after transurethral resection of the prostate[J]. Int J
Androl,2016,22(7):641-644.
[6] 梁卫群.冲洗水温对等离子前列腺电切视野及出血量的影响[J]. 临床医学,2013,33(5):122-123.
[7] Peng XF,Lv XG,Xie H,et al. Effectiveness of solifenacin for managing
of bladder spasms in patients with urethroplasty[J]. Am J Mens Health,
2017,11(5):1580-1587.
[8] 孙萌萌.综合护理对前列腺电切除术后患者焦虑情绪及膀胱痉挛发生率的影响评价[J]. 临床医药文献电子杂志,2019,6(52):133.
[9] 章晓蓉,林凌云,赵晨雪.膀胱冲洗智能专用架对前列腺电切术患者术后的影响[J]. 中国药物与临床,2019,19(14):2350-2352.
[10] Hang C,Xiao Z,Zhang X,et al. Transcutaneous electrical stimulation
of somatic afferent nerves in the foot relieved symptoms related to
postoperative bladder spasms[J]. BMC Urol, 2017,17(1):58.
[11] 杜金霞.利多卡因凝胶在膀胱灌注化疗中的应用研究[J]. 山东医学高等专科学校学报,2019,41(3):165-167.
[12] 关宇鹏,何丽莉,白志明.经尿道前列腺电切术术后膀胱痉挛的防治现状与进展[J]. 实用临床医药杂志,2017,21(15):230-234.
[13] Cao J,Sheng X,Ding Y,et al. Effect of warm bladder irrigation fluid for
benign prostatic hyperplasia patients on perioperative hypothermia,blood
loss and shiver:A meta-analysis[J]. Asian J Urol,2019,6(2):
183-191.
[14] 温健,肖颖,申新.碱化利多卡因膀胱冲洗联合复方利多卡因乳膏可减轻导尿管相关膀胱刺激症[J]. 山西医科大学学报,2014,45(1):71-73.
[15] 巫世庆.静滴注利多卡因毒副反应分析[J]. 广东医学院学报,1999(2):60.
[16] 胡小丽.膀胱冲洗液温度对前列腺术后膀胱痉挛的影响研究[J]. 实用临床护理学电子杂志,2019,4(18):155-156.
[17] 夏萍,孔齐.利多卡因生理盐水溶液膀胱冲洗预防膀胱痉挛的临床疗效观察[J]. 山东医药工业,2000(6):50-51. 
[18] Cooper JS,Lagrange CA. Risk of continuous bladder irrigation in the
monoplace hyperbaric chamber:a cautionary tale[J]. Undersea  Hyperb
Med,2018,45(6):683-684.
[19] Peng XF,Lv XG,Xie H,et al. Effectiveness of solifenacin for managing
of bladder spasms in patients with urethroplasty[J]. Am J Mens Health,
2017,11(5):1580-1587.
[20] 孙萌萌.综合护理对前列腺电切除术后患者焦虑情绪及膀胱痉挛发生率的影响评价[J]. 临床医药文献电子杂志,2019,6(52):133.
[21] Hang C,Xiao Z,Zhang X,et al. Transcutaneous electrical stimulation
of somatic afferent nerves in the foot relieved symptoms related to
postoperative bladder spasms[J]. BMC Urol,2017,17(1):58.
[22] 杜金霞.利多卡因凝胶在膀胱灌注化疗中的应用研究[J]. 山东医学高等专科学校学报,2019,41(3):165-167.
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