标题：利多卡因联合庆大霉素预防留置导尿管拔除后尿潴留的效果分析

      作者：但 超，李 恒，王传斌，黄 东，刘 全，付 焱，孙 敏
    （湖北医药学院附属太和医院普外4科，湖北 十堰 442000）

      卷次： 2013年24卷13期

      【摘要】 目的 探讨利多卡因联合庆大霉素预防吻合器痔上黏膜环切术（PPH）后拔除导尿管所致尿潴
留的临床疗效。方法 拔除导尿管前，运用利多卡因联合庆大霉素经导尿管注入膀胱内，观察拔除导尿管后
尿潴留情况。结果 185例患者拔除导尿管后排尿均通畅，有效率为 100%。结论 利多卡联合庆大霉素预
防PPH术后拔除导尿管所致尿潴留具有效果良好、成功率高、简单、安全、易于操作且无明显不良反应及并发
症等优点。

      【关键词】 利多卡因；庆大霉素；PPH；尿潴留

      【中图分类号】 R657.1+8 【文献标识码】 A 【文章编号】 1003—6350（2013）13—1982—02


Clinical application of lidocaine combined with gentamicin in the prevention of urinary retention after removal
of the catheter after PPH.
DAN Chao, LI Heng, WANG Chuan-bing, HUANG Dong, LIU Quan, FU Yan, SUN Min.
Department of General SurgeryⅣ, Taihe Hospital Affiliated to Hubei Medical College, Shiyan 442000, Hubei, CHINA

【Abstract】 Objective To evaluate the clinical efficacy of lidocaine combined gentamicin in the prevention
of urinary retention after removal of the catheter after procedure for prolapse and hemorrhoids (PPH). Methods Be-
fore removal of catheter, lidocaine combined with gentamicin were injected through the catheter into the bladder. The
urinary retention after removal of the catheter was observed. Results All the 185 patients can urinate smoothly,
achieving the effective rate of 100%. Conclusion For preventing urinary retention after removal of the catheter after
PPH, lidocaine combined with gentamicin are quite effective and safe, with high success rate, simple operation, and no
significant adverse reactions and complications.

      【Key words】 Lidocaine; Gentamicin; Procedure for prolapse and hemorrhoids (PPH); Urinary retention