应用循证护理对腰椎骨折病人术前留置尿管最佳时机及效果研究

Study on effect of application of evidence-based nursing on the optimal time of preoperative indwelling catheter for patients with fracture of lumbar vertebra

[目的]探讨手术病人留置尿管的最佳时机及术前不同时间留置尿管的效果。[方法]将142例腰椎骨折病人需术前留置尿管的择期手术病人随机分成两组,对照组在术前30 min在病房行留置导尿术;观察组在麻醉10 min起效后实施导尿术。应用循证护理观察比较两组病人的疼痛程度、心率和血压变化情况及一次置管成功率及置管所需时间。[结果]两组病人的疼痛程度、心率和血压变化、置管成功率及置管所需时间比较差异有统计学意义(P<0.05或P<0.01)。[结论]手术病人在麻醉起效后留置尿管,可明显减轻病人的疼痛,提高一次置管成功率。

Objective：To probe into the optimal time of preoperative indwelling catheter, to observe the effect on indwelling catheter for patients with fracture of lumbar vertebra at different time. Methods：A total of 142 patients with fracture of lumbar vertebra and needed for elective surgery and preoperative indwelling catheter were divided into control group and test group randomly. Patients in control group received indwelling catheter in ward at 30 minutes before operation. Patients in test group were carried out urine cathe- terization at 10 minutes after the starting anesthesia. Then the pain degree, heart rate,blood pressure,intubation success rate and intubation time of the two group patients were observed and compared by applying evidence--based nursing. Results： There were statistical significant differences between the two group patents in terms of the pain degree, heart rate, blood pressure,intubation success rate and intubation time （P〈0.05）. Conclusion： Indwelling catheter at 10 minutes after the starting of anesthesia for patients can significantly decrrease their pain and discomfort and enhance the success rate of intubation for them.