留置尿管时机对全麻苏醒期不良反应的影响

Study for the adverse impact of anesthesia awakening period by the different time period of detaining urethral catheter

目的探讨全麻手术患者术中留置导尿管的最佳时机,减轻术前患者插尿管的痛苦,减少不良反应的发生,保证医疗护理的安全。方法选择我科2014年6月-2015年10月150例全麻手术术前需导尿的成年患者,按数字表法随机分为A、B、C组,A组患者术前在病房导尿并留置尿管,B组患者在全麻插管后导尿并留置尿管;C组患者在麻醉诱导期为患者进行导尿并留置尿管。比较三组患者导尿前及导尿时的生命体征、全麻复苏期躁动、舒适度的情况及麻醉复苏时间。结果通过分组研究,C组即麻醉诱导期留置导尿管患者在全麻复苏期躁动最少,尿道刺激症状少,舒适度增加,患者的满意度提高。结论麻醉诱导期留置导尿管,既可减少全麻苏醒期躁动的发生,又增加了患者的舒适感,提高患者的满意度。

Objective To investigate the best time period of detaining urethral catheter for surgery patients with general anesthesia, and to reduce the preoperative pain and the recovery adverse reactions include agitation, occur- rence of urinary irritation symptoms, to ensure the safety of medical care. Method 120 adult patients with urethral catheterization, general anesthesia surgery and press numeric table method selected from June 2014 to October 2015 in our department were randomly divided into group A, group B and group C. Patients with preoperative catheteriza- tion in the ward, in group A patients in group 13 after general anesthesia intubation catheter and urinary tube; Pa- tients in group C in the anesthesia induction period with urethral catheterization and urinary tube. Vital signs, stir in the anesthesia recovery time, comfort and anesthesia recovery time for the three group was measured and compared before catheterization and urethral catheterization. Result By grouping study, the agitation for patients with indwelling catheter during induction of anesthesia in group C was the least in recovery period of general anesthesia, the urinary tract irritation was the least. The patient＇s comfort was increased, and the patient＇s satisfaction was improved. Conclusion Anesthesia induction period, detaining urethral catheter can reduce anesthesia awakening period of agitation, and increased patient comfort, improve patient satisfaction.