手术患者不同时机导尿对苏醒期躁动和适应性比较

Comparison of emergence agitation and fitness in urethral catheterization between different opportunities

目的比较全麻手术患者不同时机导尿后全麻苏醒期躁动和术后1天尿管耐受性。方法将180例全麻手术患者随机分为三组,I组为术晨在病房导尿;II组为手术前1日,由巡回护士访视患者,进行心理护理后,麻醉前在手术室导尿;III组为全身麻醉平稳后由巡回护士导尿。对患者就不同时机进行导尿所引起的不舒适感、麻醉苏醒时的躁动情况及术后1日对尿管适应性进行比较。结果III组患者麻醉苏醒期躁动率明显高于I、II组,有统计学意义(P<0.05)。术后1日患者尿管适应度,II组术后留置尿管的适应度较好,III组患者较差。结论麻醉前对患者进行心理护理后导尿可提高手术患者对留置尿管的适应度,大大降低麻醉苏醒时的躁动率。

Objective To compare emergence agitation and fitness in urethral catheterization between different opportunities. Methods One hundred and eighty patients undergoing general anesthesia was studied. Patients were randomly divided into three groups： In group Ⅰ urethral catheterization was in the morning at the ward, in group Ⅱ, the patients were mental nursing before anesthesia, urethral catheterization was in the operation, in group Ⅲ urethral catheterization was done after anesthesia induction. Emergence agitation and fitness in urethral catheterization was compared between different opportunities. Results emergence agitation in group Ⅲ was higher than other groups, the fitness in group Ⅱ was higher than in group Ⅲ. Conclusion Mental nursing before anesthesia can improve the patients fitness and reduce postoperative emergence agitation in urethral catheterization.