利多卡因喷雾剂使用对接受尿导管治疗的患者舒适度的影响:一项前性,观察性,随机对照试验
Elif Celikel1, Ahmet Burak Erdem2, Emine Sarcan2
1Ankara Etlik City Hospital, Emergency Department, Ankara, Turkey;.
JPMA. The Journal of the Pakistan Medical Association
|March 14, 2026
概括
利多卡因喷雾在男性患者的尿路导管治疗期间显著减少疼痛和改善舒适度. 这项研究强调了其在程序期间增强患者体验的潜力.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 麻醉学 麻醉学
- 患者的舒适性 患者的舒适性
背景情况:
- 尿管导管是一种常见的程序,与患者的不适和疼痛有关.
- 在导管治疗期间改善患者的服从性和舒适性对于有效的医疗保健服务至关重要.
研究的目的:
- 评估利多卡因喷雾在尿导管治疗期间减轻疼痛的有效性.
- 评估利多卡因喷雾剂对患者舒适性和遵从性的影响.
主要方法:
- 一项前性病例对照研究,涉及200名接受尿导管治疗的成年男性患者.
- 患者被随机分为两组:利多卡因喷雾剂 (L组) 和对照组 (P组).
- 在多个时间点使用面部-腿部-手臂-哭声-安慰度量表和Wong-Baker疼痛度量表来评估疼痛水平.
主要成果:
- 与对照组 (P组) 相比,利多卡因喷雾组 (L组) 在所有测量时间点 (p<0.05) 中报告了明显较低的疼痛评分.
- 面部-腿部-手臂-哭声-安慰度表得分在对照组显著更高,表明疼痛感觉更强.
- 这项研究包括了L组中位数为68.5岁,P组中位数为73.0岁的患者.
结论:
- 利多卡因喷雾是一种有效的干预措施,可以减少与尿道导管治疗相关的疼痛.
- 利多卡因喷雾剂的应用可以提高患者的舒适度,并可能改善在手术期间的遵守.
相关概念视频
Cardiac Catheterization IV: Nursing Management
977
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
977
Local Anesthetics: Clinical Application as Epidural Anesthesia
914
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
914
Local Anesthetics: Common Agents and Their Applications
1.1K
Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
1.1K
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia
2.4K
Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
2.4K
Local Anesthetics: Clinical Application as Spinal Anesthesia
1.8K
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
1.8K
Local Anesthetics: Pharmacokinetics
1.4K
The potency and duration of action of local anesthetics (LAs) are determined by their pharmacokinetics. Pharmacokinetics describes how LAs are absorbed, distributed, metabolized, and eliminated from the body. When administered to the vascular tissues, LAs are quickly absorbed and enter the systemic circulation, reducing their localized effects. Adding vasoconstrictors such as epinephrine to LAs reduces their absorption into the systemic circulation, making them clinically effective. The...
1.4K


