全麻后置尿管对男性经皮肾镜取石术后苏醒期躁动的影响

Inserting catheter after the inducement of general anesthesia enhances the delirium in anesthesia recovery period in percutaneous nephrolithotomy lithotomy patients

目的探讨男性经皮肾镜取石术后留置尿管的最佳时机。方法选取男性全麻下经皮肾镜取石术212例并随机分为两组。实验组110例,在麻醉前清醒状态下行导尿术;对照组102例,在全麻诱导后行导尿术。观察两组在术后全麻苏醒期躁动和尿管刺激反应的发生率及其程度。结果实验组全麻苏醒期躁动发生率和躁动程度均显著低于对照组。实验组在复苏室内意识完全恢复后(苏醒期末)和术后24h尿管刺激反应发生率和尿管刺激反应程度均显著低于对照组。实验组和对照组在术后24h尿管刺激感发生率和程度均显著低于在复苏室内意识完全恢复后(苏醒期末)。结论全麻后置导尿管会增加男性经皮肾镜取石术后患者苏醒期的躁动和尿管的刺激反应。

Objective To investigate the best methods and opportunities for urinary catheterization before and after the inducement of general anesthesia in percutaneous nephrolithotomy patients. Methods A total of 212 patients who underwent general anesthesia were randomly divided into the test group and the control group. The catheterization was completed before the anesthesia for the test group and after the anesthesia for the control group. Compare the conditions of delirium and catheter stimulation of the two groups. Results The incidence rate of dehrium and the degree of delirium in anesthesia recovery period were significantly lower in the test group. The incidence rate of catheter stimulation and the degree of catheter stimulation in anesthesia recovery period as well as 24 hours after the operation were significantly lower in the test group. The incidence rate of catheter stimulation and the degree of catheter stimulation in 24 hours after the operation of the two groups were significantly lower than those in anesthesia recovery period. Conclnsions Inserting catheter after the inducement of general anesthesia enhances the delirium and catheter stimulation in anesthesia recovery period in percutaneous nephrolithotomy lithotomy patients.