手术患者麻醉后留置导尿效果观察

Observation on the contrast of indwelling urethral catheterization before and after anesthesia

目的:探讨麻醉前后留置导尿对手术患者的影响。方法:将120例择期手术患者随机分为实验组和对照组各60例,对照组麻醉前由病房护士在病房留置导尿,实验组于硬膜外麻醉后留置导尿,观察并比较留置尿管时两组心率、血压、疼痛程度及一次置管成功率。结果:对照组患者留置尿管时血压、心率、疼痛程度均高于实验组(P<0.01),一次置管成功率低于实验组(P<0.01)。结论:麻醉后导尿可减轻患者的疼痛不适,适应患者生理、心理需求,值得推广应用。

Objective ： To study the effect of indwelling urethral catheterization on patients before and after anesthesia. Methods ： 120 patients in arrangement of operation were divided into experiment group （ n = 60） and control group （ n = 60）. Indwelling urethral catheterization was done for patients in the control group in the ward before anesthesia, and indwelling urethral catheterization was conducted for patients in the experiment group after peridural anesthesia, and heart rate, blood pressure, degree of pain and success of one - time catheterization were observed and compared. Results ： Heart rate, blood pressure, degree of pain of patients were higher in the control group than that in the experiment group （P 〈 0.01 ）, but the rate of success of one- time catheterization was lower than that in the experiment group （P 〈0. 01 ）. Conclusion ： Urethral catheterization should be taken after anesthesia, which can reduce pain of patients and conform to physiological and psychological demands of patients.