三种不同时机下术前导尿配合手术室护理对全麻手术患者苏醒期躁动的影响  

Effects of preoperative catheterization on patients with emergence agitation after general anesthesia on three different occasions

作　　者：史树利 SHI Shuli(Department of Operating Room,Yancheng Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Traditional Chinese Medicine,Yancheng 224001,China)

机构地区：[1]南京中医药大学附属盐城市中医院手术室,江苏盐城224001

出　　处：《医药高职教育与现代护理》2020年第3期221-224,共4页Medical Higher Vocational Education and Modern Nursing

摘　　要：目的观察三种不同时机下术前导尿配合手术室护理对全麻手术患者苏醒期躁动的影响。方法选择2017年1月至2018年12月于南京中医药大学附属盐城市中医院行择期全麻手术的患者100例,根据术前导尿时机分为3组:A组(手术当日清晨在病房导尿,33例)、B组(麻醉前在手术室导尿,30例)、C组(麻醉平稳后在手术室导尿,37例)。记录并比较3组麻醉时间、术中输液量、术中出血量、苏醒时间,以及导尿前后收缩压(SBP)、舒张压(DBP)及心率(HR)变化,比较3组一次性导尿成功率、术后导尿管适应度及苏醒期躁动发生情况,采用问卷调查患者护理满意度。结果3组麻醉时间、术中输液量、术中出血量及苏醒时间比较差异无统计学意义(P>0.05);A组导尿后SBP、DBP、HR较导尿前均有升高(P<0.05),B组和C组SBP、DBP、HR与导尿前比较差异无统计学意义(P>0.05);A组一次性导尿成功率低于B组和C组,术后导尿管适应度也差于B组和C组,均P<0.05;A组苏醒期躁动发生率及躁动分级均高于C组(P<0.05);A组护理满意度评分低于B组和C组(P<0.05)。结论在麻醉前后于手术室进行导尿的效果明显优于手术当日清晨在病房导尿,配合手术室护理干预可有效提高患者术后对导尿管的适应度,降低麻醉苏醒期躁动发生率,提高患者护理满意度。Objective To observe the effects of preoperative catheterization on patients with emergence agitation after general anesthesia on three different occasions.Methods A total of 100 patients undergoing elective general anesthesia in Yancheng Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Traditional Chinese Medicine from January 2017 to December 2018 were selected and divided into three groups according to the timings of preoperative catheterization,including group A(catheterization in the morning of surgery in ward,33 cases),group B(catheterization in the operating room before anesthesia,30 cases)and group C(catheterization in the operating room after smooth anesthesia,37 cases).The changes of anesthesia time,intraoperative fluid volume,intraoperative blood loss,recovery time and systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate(HR)before and after catheterization were compared among the three groups.The success rate of catheterization,adaptability of postoperative catheter and occurrence of emergence agitation were compared among the three groups.The questionnaire was used to investigate the nursing satisfaction.Results There were no significant differences in the anesthesia time,intraoperative fluid volume,intraoperative blood loss and recovery time among the three groups(P>0.05).The SBP,DBP and HR in group A after catheterization were significantly higher than those before catheterization(P<0.05).And there were no significant differences in SBP,DBP and HR of group B and group C compared with those before catheterization(P>0.05).The primary success rate of catheterization in group A was significantly lower than that in group B and group C,and the postoperative catheter adaptability was significantly worse than that in group B and group C(P<0.05).The incidence rate of emergence agitation in group A was significantly higher than that in group C,while the emergence agitation grading was significantly higher than that in group C as well(P<0.05).The nursing satisfac

关 键 词：导尿时机 手术室护理 全身麻醉 苏醒期躁动 

分 类 号：R472.3[医药卫生—护理学]