Evaluation of effect of compound lidocaine cream in indwelling urethral catheter in cardiac operation
10.3969/j.issn.1671-8348.2018.07.014
- VernacularTitle:复方利多卡因乳膏在心脏手术留置导尿中应用的效果评价
- Author:
Rui ZHANG
1
;
Zheyan WANG
;
Xiaokun ZHANG
;
Xuan LUO
Author Information
1. 南京大学医学院附属鼓楼医院麻醉科
- Keywords:
lidocaine;
urinary catheterization;
cardiac surgery;
urinary tract infection;
postoperative agitation
- From:
Chongqing Medicine
2018;47(7):913-914,918
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the surface anesthesia and antibacterial effect of compound lidocaine cream in indwelling urethral catheter in order to seek the optimal indwelling urethral catheter scheme in cardiac surgery.Methods A total of 198 patients undergoing elective cardiac surgery in this hospital from November 2016 to January 2017 were selected and divided into the two groups:the lidocaine cream group(L) and liquid paraffin control group(C).The visual analogue scale (VAS) and catheter-related bladder discomfort(CRBD) were used immediately after tracheal catheter extubation and at 2,4 h after extubation.The number of white blood cells and bacteria in urine were observed on postoperative 1,7 d.The urine culture results were observed on postoperative 7 d.Results The VAS and CRBD scores immediately after extubation in the group L was significantly lower than that in the group C(P＜0.05).The urine WBC count and bacterial count on postoperative 7 d in the group L were significantly lower than those in the group C(P＜0.05),the positive rate of urine culture on postoperative 7 d in the group L was significantly lower than that in the group C,the difference was statistically significant(5.05％ vs.13.13％,P＜0.05).Conclusion Compound lidocaine cream as lubrication indwelling urethral catheter can decrease the incidence rate of urinary tract infection on postoperative 7 d in the patients with cardiac operation,furthermore can prevent the wake agitation caused by indwelling urethral catheter.
