Abstract: 【Abstract】〓Objective〓To investigate the effect of compound lidocaine cream combined with psychological intervention in the urethral catherixation of male patients. Methods〓A total of 120 patients were included in the study and randomized into four groups, group one: control group, group two: using compound lidocaine cream without psychological intervention, group three: psychological intervention without using compound lidocaine cream, group four: using compound lidocaine cream combined with psychological intervention. The dysphoria degree and the pain degree of patients were evaluated by RS and VAS. Results〓The rate of dysphoria in Group four was lower than those in other three groups significantly (P<0.05). There was no significant difference in VAS degree among four groups. Conclusion〓Compound lidocaine cream combined with psychological intervention in the urethral catheterization of male patients is an effect method to alleviate the dysphoria of patients.

Key words: Catheterization, Dysphoria, Compound lidocaine cream, Psychological intervention

摘要： 【摘要】〓目的〓观察复方利多卡因乳膏复合术前心理干预降低全身麻醉手术后男性患者尿管刺激所引起的苏醒期躁动的临床效果。方法〓腹部气管内麻手术并需要留置尿管的男性患者120例,随机分为Ⅰ组:对照组,Ⅱ组:利多卡因乳膏组,Ⅲ组:心理干预组,Ⅳ组:利多卡因乳膏+心理干预组,每组30例。观察记录四组患者麻醉苏醒期的平均血压、心率、血氧饱和度、躁动评分、疼痛视觉模拟评分。结果〓Ⅳ组躁动评分明显低于另外三组(P<0.05),疼痛视觉模拟评分四组间差异无统计学意义。结论〓复方利多卡因乳膏涂抹尿管复合术前心理干预再行导尿,可有效降低全身麻醉手术后男性患者在麻醉恢复期因尿管刺激引起的躁动,使全身麻醉复苏质量得到有效提高。

关键词: 导尿, 躁动, 复方利多卡因乳膏, 心理干预