全身麻醉对接受留置导尿术患者循环指标及舒适度的影响

Analysis of Degree of Satisfaction on Patients Undergoing Urethral Catheterization before or after General Anaesthesia

目的观察手术患者全身麻醉后置尿管对心率、平均动脉压(MAP)及舒适度的影响,探讨导尿的最佳时机。方法需术前导尿患者100例随机分为对照组和全麻组,各50例。对照组采用麻醉前清醒的状态下导尿,全麻组在全身麻醉后15min导尿,比较两组导尿前后心率、MAP及舒适度。结果导尿后全麻组心率、MAP较对照组稳定,有显著性差异(P<0.05);两组留置导尿管舒适度比较有显著性差异(P<0.05)。结论全身麻醉后导尿可缓解术前导尿的不适感,是手术患者留置导尿的最佳时机。

Objective To investigate the effect of general anaesthesia on heart rate,mean aortic pressure（MAP） and satisfaction of patients undergoing urinary catheterization.Method 100 cases of preoperative patients prepared for urethral catheterization were randomly divided into control group and treatment group.The patients in control group underwent urethral catheterization with conscious remained,while urethral catheterization performed in the patients of treatment group at 15 minutes after general anesthesia.Indexes included heart rate,MAP and satisfaction score were observed.Results In control group,significant difference was found on the charges of heart rates before and after urethral catheterization（P0.05）.Significant difference The satisfaction scores between treatment and control groups showed significant difference（P0.05）.Conclusion Undergoing Urethral catheterization performed after general anaesthesia was a better choice because that could relieve the comfortlessness of dwelling urinary catheter.