恒温冲洗液对泌尿外科全麻术后苏醒期膀胱冲洗患者的影响

Effect of constant temperature lotion on patients with bladder flushing af-ter anaesthesia surgery

目的探讨恒温冲洗液对泌尿外科全麻术后膀胱冲洗患者苏醒期的影响。方法选取江西省荣誉军人康复医院2017年2月～2018年9月收治的200例泌尿外科全麻术后入苏醒室行取膀胱冲洗的患者作为研究对象,按照膀胱冲洗液温度的不同分为观察组和对照组,每组各100例。观察组采用恒温膀胱冲洗液,对照组采用常温膀胱冲洗液,比较两组苏醒期痉挛发生、拔除气管插管后躁动、麻醉苏醒时间以及术后舒适度。结果观察组的痉挛总发生率为20.00%,低于对照组的42.00%,差异有统计学意义(P<0.05);观察组拔除气管插管后躁动发生率为15.00%,低于对照组的39.00%,差异有统计学意义(P<0.05);观察组的麻醉苏醒时间为(12.63±1.83)min,短于对照组的(16.31±2.04)min,差异有统计学意义(P<0.05);观察组的总舒适度为67.00%,高于对照组的16.00%,差异有统计学意义(P<0.05)。结论泌尿外科全麻术后膀胱冲洗期采取恒温冲洗液,能加快患者的苏醒,减少在苏醒期间出现的痉挛、躁动发生率,提高患者术后舒适度,提高患者苏醒期的安全性。

Objective To investigate the effect of constant temperature irrigation on the recovery period of patients with bladder irrigation after general anesthesia in urology. Methods A total of 200 cases of urological general anesthesia patients who need to continue to use bladder flushing in the awakening room admitted to Jiangxi Honorary Military Rehabilitation Hospital, from February 2017 to September 2018 were selected. Patients were divided into observation groups (100 cases) and control group (100 cases) according to the temperature of bladder flushing fluid. The observation group was used constant temperature bladder washing liquid and the control group was used room temperature bladder washing liquid, the spasms, restlessness after tracheal intubation, anaesthesia time and postoperative comfort of the two groups of patients were compared. Results The total incidence of sputum in the observation group was 20.00%, which was lower than that in the control group 42.00%, the difference was statistically significant (P<0.05). The incidence of agitation after removal of tracheal intubation in the observation group was 15.00%, which was lower than that of the control group 39.00%, the difference was statistically significant (P<0.05). The anesthesia recovery time of the observation group was (12.63±1.83) min, which was shorter than that of the control group (16.31±2.04) min, and the difference was statistically significant (P<0.05). The total comfort of the observation group was 67.00%, which was higher than 16.00% of the control group, and the difference was statistically significant (P<0.05). Conclusion The use of constant temperature irrigation solution during bladder irrigation after general anesthesia in urology can speed up the patients′ recovery, reduce the incidence of convulsions and agitation during the recovery, improve the patients′ postoperative comfort and improve the safety of the patients′ recovery period.