腰硬联合麻醉前后留置导尿对剖宫产患者的影响观察

Difference observation of catheterization before and after combined spinal-epidural anesthesia in patients of Caesarean Section

目的探讨对剖宫产患者在麻醉前后留置导尿的影响。方法选择100例在腰硬联合麻醉前后的剖宫产患者,随机分为观察组和对照组各50例。对照组患者在麻醉前行导尿术,观察组患者在麻醉后行导尿术,比较两组患者留置导尿前后心率、血压变化,疼痛分级以及一次性置管的成功率。结果与基础值比较,对照组患者在留置导尿后心率、血压均明显增加,而观察组增加不明显;对照组疼痛感受明显高于观察组;一次置管成功率对照组为82%,观察组为98%。结论剖宫产患者宜麻醉后留置导尿。

Objective To explore the difference of catheterization before and after anaesthesia in patients of Caesarean Section.Methods One hundred Caesarean Section patients undergoing Combined Spinal-epidural Anesthesia M were divided into two groups randomly.Fifty patients of observation group were accepted detaining urethral catheterization after anaesthesia.Fifty patients of control group were accepted detaining urethral catheterization before anaesthesia.The heart rate,blood pressure,pain rating and success rates of first catheterization were observed.Results The heart rate,blood pressure,and pain rating of observation group were lower than the control group.Success rates of first catheterization in observation group was 98%,the control group was 82%.Conclusions It is better to take catheterization after anaesthesia in patients of Caesarean Section.