手术病人术前导尿管留置时机的探讨VIP专享

手术病人术前导尿管留置时机的探讨【摘要】 目的 观察手术前不同时间导尿的效果。方法 将 160 例需术前留置尿管的择期手术病人随机分为两组，对比组在麻醉前行导尿术，实验组在麻醉后15 min 导尿。导尿时记录两组病人紧张和痛苦、心率和血压变化情况及一次插尿管成功率等指标。结果 两组病人对插管的紧张、焦虑、抑郁反应差异有极显着性；两组插管成功率及插管所需时间的有显着性差异；实验组Ⅱ、Ⅲ级痛苦人数明显减少。结论 麻醉后 15 min 插导尿管，可明显减轻病人焦虑、痛苦，提高一次插管的成功率，使病人在一种比较好的状态下进入手术，为手术的顺利进行提供有利条件。【关键词】 麻醉；导尿；时机选择 【Abstract】 Objective To observe the effects of preoperative different time urethral catheterization. Methods 60 selective operation patients needing preoperative urethral catheterization were randomly dicided into control group receiving urethral catheterization before anaesthesia and experimental group doing that in 15 minutes after ,pain,HR,BP changes and achievement ratio of once interpolating urinary canal were recorded for both There were significant differences in tension,anxiety,depression reactions and times deeded by interpolating urinary canal() and achievement ratio of interpolating urinary canal () between the two ’ numbers of grade Ⅱand Ⅲ pain significantly reduced. Conclusion Urethral catheterization in 25minutes after anaesthesia can lessen patients’ anxiety and pain and raise achievement ratio of once interpolating urinary canal，make patients receiving oepration under reasonable state and provide starts for operating success. 【Keywords】 Anaesthesia；urethral catheterization；opportunity election 术前放置导尿管的目的是避开损伤膀胱，防止术后尿潴留，是术前准备工作之一［1］。一般情况下，手术病人均于术日晨在病房行导尿术，往往给病人造成一定的痛苦和情绪上的不安，增加了对手术恐惧、焦虑、烦躁不安的心理，给麻醉及手术造成影响。为体现“以病人为中心”的服务...