全麻诱导前后留置导尿效果对比分析

Before and after the inducement of general anesthesia urinary catheterization

【目的】探讨全麻诱导前后留置导尿的适宜时机与方法。【方法】选择120例择期全麻手术患者,随机分为两组,对照组(n=60)在全麻诱导后导尿,观察组(n=60)在全麻诱导前尿道局麻下导尿,观察两组在导尿毕与麻醉苏醒期心率、血压的变化情况,以及麻醉苏醒期的躁动情况。【结果】观察组导尿毕与麻醉苏醒期心率、血压比较无显著性差异(P>0.05),对照组导尿毕与麻醉苏醒期心率、血压比较有显著性差异(P<0.05),且躁动明显。【结论】全麻诱导前应用尿道局麻后导尿,即可以减轻患者痛苦,又可以减少麻醉苏醒期躁动的发生,提高手术的安全性。

[Objective] To explore the timing and techniques for urinary catheterization Before and after the inducement of general anesthesia. [Methods] 120 patients prepared for general anesthesia were divided into 2 groups randomly control group： Before the inducement of general anesthesia urinary catheterization, observation group： after the inducement of general anesthesia urinary catheterization. Observing the conditions of heart rate and blood pressure compared after urethral catheterization and the awaking stage of general anesthesia in two groups and restlessness in the awaking stage of general anesthesia. [Results] Heart rate and blood pressure in after urethral catheterization and the awaking stage of general anesthesia have no significant difference in observation groups （ P 〉 0.05） while they have significant difference in control groups （ P 〈 0.05）. Obvious restlessness was in the awaking stage of general anesthesia. [Conclusions] Before the inducement of general anesthesia urinary catheterization can reduce pain of patients and restlessness, improve safe of operation.