导尿管相关膀胱刺激征围手术期风险及预治策略  

Perioperative risk factors and prevention strategies for catheter-related bladder discomfort

作　　者：陈春婷 石亚平 王玥 周懿 CHEN Chunting;SHI Yaping;WANG Yue;ZHOU Yi(Department of Anesthesiology,the First Affiliated Hospital of Naval Medical University,Shanghai 200438,China)

机构地区：[1]海军军医大学第一附属医院麻醉科,上海200438

出　　处：《机器人外科学杂志（中英文）》2023年第1期34-41,共8页Chinese Journal of Robotic Surgery

基　　金：上海市科学技术委员会科研计划项目(19411967500)。

摘　　要：随着微创外科的迅猛发展,多模式镇痛在围手术期的广泛应用,导尿管相关不适现已成为围手术期患者的主诉之一。导尿管相关膀胱刺激征(Catheter-related Bladder Discomfort,CRBD)可加重患者术后疼痛,降低患者围手术期恢复质量。为更好地实现围手术期舒适化医疗,提高对CRBD的重视,减少术后CRBD的发生,提高麻醉恢复质量,本文从术后CRBD的发生率、发生机制、危险因素、严重程度、危害、预防及治疗等方面进行综述。With the rapid development of minimally invasive surgery,multi-mode analgesia has been widely used in perioperative period.Catheter-related bladder discomfort(CRBD)has become one of the main complaints of patients indwelling a catheter,which could aggravate postoperative pain and reduce the quality of perioperative recovery.In order to improve perioperative care quality,reduce the incidence of postoperative CRBD,and enhance the recovery quality from anesthesia,the incidence,possible mechanism,risk factors,severity,prevention and treatment of postoperative CRBD were reviewed in this paper.

关 键 词：微创外科 导尿管相关膀胱刺激征 围手术期 疼痛 全身麻醉 

分 类 号：R614.2[医药卫生—麻醉学] R694[医药卫生—外科学]