导尿时机对全麻苏醒期躁动影响的研究  

The study of the influence of time for urethral catheterization on the restlessness of patients in anesthesia recovery period

作　　者：秦秦[1] 董雪琴[2] 杨瑞[1] 王晖[1] 

机构地区：[1]陕西省人民医院麻醉科,陕西西安710068 [2]西安市陕西航天医院麻醉科

出　　处：《中国现代医药杂志》2008年第1期57-59,共3页Modern Medicine Journal of China

摘　　要：目的在不同的时间段留置导尿,观察其对全麻苏醒期躁动的影响情况,寻找最佳的导尿时机。方法A-SAI^II级上腹部手术患者90例,随机分为3组,每组30例。A组:入手术室前留置导尿;B组:入手术室静注咪唑安定0.05~0.06mg/kg,入睡后留置导尿;C组:麻醉诱导后留置导尿。观察麻醉苏醒期三组患者躁动程度、躁动评分以及躁动发生率等情况。结果C组躁动程度、躁动评分明显高于A、B组(P<0.05),躁动发生率依次为C组>A组>B组。结论咪唑安定充分镇静后留置导尿,苏醒期躁动发生情况明显少于全麻诱导后插尿管,而且拔管后心血管应激反应较轻,血流动力学更加平稳。Objective Catheter were inserted at different time and the restlessness were observed during anesthesia recovery period, in order to find out the optimal time for urethral catheterization. Methods 90 patients （ ASA Ⅰ - Ⅱ ） scheduled for upper abdominal surgery were randomly divided into 3 groups, with 30 cases in each group. In group A, the catheter were inserted before going into the operation room. In group B. midazolam 0.05-0.06mg/kg was injected intravenous, urethral catheterization were done after patients falling asleep. In group C. the catheters were inserted after inducement of anesthesia. The degrees of restlessness, the scores of restlessness and the incidence rates of restlessness were observed in anesthesia recovery period. Results The scores of restlessness of group C was higher than in group A and group B （P〈0.05）. The incidence rate of restlessness in group C was higher than in group A, and in group A was higher in group B. Conclusion Compared with inserting catheter after inducement of general anesthesia, inserting catheter under sedation with midazolam can reduce the restlessness, and the cardiovascular stress response after extubation is slight, the hemodynamics is stable.

关 键 词：留置导尿 咪唑安定 躁动 导尿时机 全麻苏醒期 

分 类 号：R472[医药卫生—护理学]