全麻手术术前留置导尿管的时机选择及其对患者术后恢复的影响研究  

Study on the timing of indwelling catheter before general anesthesia and its influence on postoperative recovery of patients

作　　者：高琪 GAO Qi(Deparment of Anesthesiology,Joint Logistics Support Force 966 Hospital,Dandong 118000,China)

机构地区：[1]联勤保障部队第九六六医院麻醉科,118000

出　　处：《中国实用医药》2021年第28期31-34,共4页China Practical Medicine

摘　　要：目的 探讨进行全身麻醉(全麻)手术前选择不同时机留置导尿管对患者术后恢复的影响。方法 105例进行全麻手术患者,采用随机数字表法分为麻醉前组、麻醉起效后组、麻醉诱导期组,每组35例。麻醉前组患者在全麻前留置导尿管,麻醉起效后组患者在麻醉起效后留置导尿管,麻醉诱导期组患者在全麻诱导期间留置导尿管。比较三组患者导尿前、导尿时的舒张压、收缩压及心率;苏醒期舒适度、躁动及术后4 h内排尿情况。结果 导尿前,三组患者舒张压、收缩压和心率比较差异无统计学意义(P>0.05)。导尿时,麻醉前组患者舒张压、收缩压与心率均显著高于麻醉起效后组、麻醉诱导期组,差异具有统计学意义(P<0.05);麻醉起效后组、麻醉诱导期组患者舒张压、收缩压和心率比较差异无统计学意义(P>0.05)。麻醉诱导期组患者苏醒期舒适度100.0%、术后4 h内排尿成功率97.1%显著高于麻醉前组的60.0%、60.0%和麻醉起效后组的85.7%、82.9%,躁动发生率25.7%显著低于麻醉前组的77.1%、麻醉起效后组的54.3%,差异具有统计学意义(P<0.05);麻醉起效后组患者苏醒期舒适度、术后4 h内排尿成功率显著高于麻醉前组,躁动发生率显著低于麻醉前组,差异具有统计学意义(P<0.05)。结论 与麻醉前和麻醉起效后留置导尿管相比,麻醉诱导期留置导尿管可减少患者的痛苦,提升苏醒期舒适度,促进患者术后4 h内自行排尿且不会影响其血压与心率,安全性较高,建议临床广泛推广和应用。Objective To discuss the timing of indwelling catheter before general anesthesia and its influence on postoperative recovery of patients.Methods A total of 105 patients undergoing general anesthesia were divided into pre-anesthesia group,post-anesthesia group,and anesthesia induction group by random numerical table,with 35 cases in each group.Patients in the pre-anesthesia group were indwelled with catheter before general anesthesia,patients in the post-anesthesia group were indwelled with catheter after the onset of anesthesia,and patients in the anesthesia induction group were indwelled with catheter during the induction of general anesthesia.The diastolic blood pressure,systolic blood pressure and heart rate before and during catheterization;comfort during recovery,agitation and urination within 4 h after surgery were compared in the three groups.Results Before catheterization,there was no statistically significant difference in diastolic blood pressure,systolic blood pressure and heart rate among the three groups(P>0.05).During catheterization,the diastolic blood pressure,systolic blood pressure and heart rate of the pre-anesthesia group were significantly higher than those of the post-anesthesia group and anesthesia induction group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in diastolic blood pressure,systolic blood pressure and heart rate between post-anesthesia group and anesthesia induction group(P>0.05).In anesthesia induction group,the comfort level during recovery was 100.0%and the success rate of urination within 4 h after surgery was 97.1%,which were significantly higher than 60.0%and 60.0%in the pre-anesthesia group,and 85.7%and 82.9%in the post-anesthesia group;the incidence of agitation was 25.7%,which was significantly lower than 77.1%in the preanesthesia group and 54.3%in the post-anesthesia group;all the differences were statistically significant(P<0.05).The comfort level of patients during recovery and success rate of urination wi

关 键 词：全身麻醉手术 留置导尿管 诱导期 舒适度 躁动 恢复效果 

分 类 号：R47[医药卫生—护理学]