男性患者全麻苏醒期尿管耐受性分析  

Analysis on Tolerance for Catheter among Male Patients during Recovery Period of General Anesthesia

作　　者：廖淑萍[1] 刘娟娟[1] 

机构地区：[1]江西省九江市第一人民医院手术室,332000

出　　处：《职业与健康》2011年第11期1320-1320,F0003,共2页Occupation and Health

摘　　要：目的探讨男性患者在全麻诱导前后行留置导尿直至尿管导管拔出后对尿管耐受的程度,及行护理干预对耐受性的影响。方法收集江西省九江市第一人民医院自2009年1—2010年10月全麻诱导前后行留置导尿的男性病人1 080例资料,统计其苏醒期拔出尿管导管后,对尿管耐受不同程度的反应。A组为麻醉诱导前行留置导尿者,B组为麻醉诱导后行留置导尿者。另在A组中又分为诱导前行护理干预的A1小组和未行护理干预的A2小组。结果 A组耐受性明显好于B组,差异有统计学意义(P<0.01);A1小组明显好于A2组,差异有统计学意义(P<0.05);A1小组更明显好于B组,差异有统计学意义(P<0.01)。结论男性手术病人于麻醉前实施留置导尿,比麻醉诱导后留置导尿对尿管的耐受性更好。而麻醉前即行护理干预可显著提高该耐受性,从而有利减少不适引起的躁动,安全度过苏醒期。[ Objective] To explore the tolerance for catheter among male patients who were given an indwelling catheter before or after induction of general anesthesia till the catheter was pulled out, and the influence of nursing intervention on tolerability. [ Methods] The data of 1 080 male patients who were given an indwelling catheter before or after induction of general anesthesia in the First Peoples Hospital of Jiujiang City from January 2009 to October 2010 were collected, and the degrees of tolerance for catheter of patients during recovery period were analyzed. The patients undergoing catheterization before induction of anesthesia were regarded as group A, and the patients undergoing catheterization after induction of anesthesia were regarded as group B. The patients of group A were divided into the group A1 which was treated with nursing intervention before induction and group A2 which was not given nursing intervention. [ Results] The tolerability of group A was significantly better than that of group B （ P 〈 0.01 ）. The tolerability of group A1 was significantly better than that of group A2 （ P 〈 0.05 ）. The tolerability of group A1 was significantly better than that of group B, and the difference was more obvious （ P 〈0.01 ）. [ Conclusion] The tolerability of male patients who are given an indwelling catheter before induction of general anesthesia is better than after induction of anesthesia, and nursing intervention before induction can increase the tolerability significantly, so as to reduce the dysphoria caused by discomfort and tide the patient over the danger period.

关 键 词：全身麻醉 留置导尿 耐受性 苏醒期 

分 类 号：R473.6[医药卫生—护理学]