Analysis of the Effect of Dexmedetomidine Combined with Dyclonine Muci-lage on Preventing Catheter Related Bladder Discomfort after Urological Surgery
Objective To investigate the clinical effect of dexmedetomidine combined with dyclonine mucilage in the prevention of catheter related bladder discomfort(CRBD)after urological surgery.Methods A total of 80 male patients undergoing urological surgery under general anesthesia admitted to the Affiliated Hospital of Shandong Second Medi-cal University from January 2020 to January 2021 were randomly selected as the research objects.According to differ-ent treatment schemes,they were divided into study group and control group,with 40 cases in each group.Both groups were given 1 µg/kg dexmedetomidine before induction of general anesthesia,and the infusion was completed within 10-15 min.In the study group,5 mL of dyclonine mucilage was injected transurethrally before the catheter was inserted,and the catheter was lubricated with dyclonine mucilage.The control group was injected with an equal volume of 0.9%normal saline,and the catheter was lubricated with paraffin oil for catheterization.The quality of recovery and the inci-dence of CRBD were compared between patients in two groups.Results The incidence of CRBD in the study group was 0,which was lower than 15.00%(6/40)in the control group,and the difference was statistically significant(χ2=4.505,P<0.05).The Visual Analogue Score and agitation score of the study group 1 h after extubation were lower than those of the control group,and the Ramsay sedation score was higher than that of the control group,the differences were statistically significant(all P<0.05).Conclusion In the prevention of CRBD after urological surgery,the combina-tion of dexmedetomidine and dyclonine mucilage has a better clinical effect,which can reduce postoperative pain and restlessness,and has higher practicability and safety.
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