导尿时机对全麻苏醒期躁动影响的观察及护理

The observation and the nursing about the effects of the time of urethral catheterization on the restlessness of patients who was in the stage of recovery from general anesthesia

目的探讨在全麻状态下与清醒状态下行导尿术,对全麻苏醒期躁动情况的影响。方法选择80例食管癌手术患者,随机分为2组。实验组(40例)在麻醉前清醒状态下行导尿术,对照组(40例)在麻醉后行导尿术,比较2组患者在全麻苏醒期的躁动分值和导管脱出率。结果实验组与对照组比较,前者躁动分值和导管脱出率明显低于后者,两者比较差异有显著性(P<0.05)。并且,躁动分值与导管脱出呈正相关。结论在麻醉前行导尿术,可明显减轻全麻患者苏醒期躁动,降低不良情况的发生率。

Objective To investigate the difference of restlessness of patients who was in the stage of recovery from general anesthesia when using urethral catheterization in different time. Methods Divided 80 patients with carcinoma of esophagus into 2 groups randomly. For the cases in the experimental group, using urethral catheterization before the general anesthesia, while for the cases in the control group, using urethral catheterization after the general anesthesia. Compare the condition of restlessness and the ratio of canal emerge of 2 groups. Results The condition of restlessness and the ratio of canal emerge in the experimental group were both better than those of in the control group, P 〈 0.05. The mania .score has a positive correlation with the number of canal emerge. Conclusion Using urethral catheterization before the general anesthesia can effective alleviate the restlessness and reduce the incidence rate of abnormal phenomenon.