摘要
目的探讨不同术前导尿时机对择期手术患者血压、心率及术后苏醒期尿管相关膀胱刺激征发生率的影响。方法将90例择期手术患者随机分为三组，每组30例。A组为常规导尿组，B组为麻醉前用药15min后导尿组，C组为麻醉后导尿组。比较三组导尿前、导尿中、导尿后血压、心率的变化，以及术后尿管相关膀胱刺激征的发生情况。结果A组的血压、心率在导尿前、中、后3个时段的比较差异有统计学意义（P〈0．05），B，C两组则无统计学意义（P〉0．05）；C组尿管相关膀胱刺激征的发生率高于A，B两组，差异有统计学意义（P〈0．05）。结论麻醉前用药15min后为患者施行导尿，患者的血压、心率较平稳，术后尿管相关膀胱刺激征的发生率较低，是对手术患者影响较小的导尿时机。
Objective To explore the effects of different preoperative catheterization times to blood pressure, heart rate and occurrence rate of catheter-related bladder discomfort during postoperative emergence period among patients with time selecting operation. Methods 90 patients were randomly divided into three groups, 30 patients in each group： the routine catheterization group （group A ）, the catheterization after premeditation for 15 minutes before anesthesia （group B）, and the catheterization after anesthesia （group C）. Physiological parameters of subjects （including systolic pressure, SBP; diastolic pressure, DBP; heart rate, HR） were monitored pre-operatively, intra-operatively and post-operatively; catheter-related bladder discomfort was evaluated at 0h,1h, 2h and 6h after operation. Results Blood pressure and heart rate at three measurement times （pre-operatively, intra-operatively and post-operatively ） in group A had statistically significant meanings, respectively （ P 〈 0. 05 ）. There was no difference in group B and group C （ P 〉 0. 05 ）. The incidence of catheter-related bladder discomfort was higher in group C than that in group A and B （ P 〈 0. 05）, and the difference had obviously statistical meaning （P 〈 0. 05 ）. Conclusions Group B （catheterization after premedication for 15 minutes before anesthesia） has the least effects of blood pressure, heart rate and catheter-related bladder discomfort on patients with time selecting surgery. So catheterization after premedication for 15 minutes before anesthesia is the choice with less influence to the patients.
出处
《中华现代护理杂志》
2008年第31期3244-3246,共3页
Chinese Journal of Modern Nursing
基金
吕梁市科研基金资助项目（sf2007003-4）
关键词
导尿
手术
护理
Catheterization
Operation
Nursing
