[摘要] 目的 观察气管插管全身麻醉手术患者留置尿管对心率、平均动脉压及舒适度的影响。 方法 对择期胸科手术、气管插管全身麻醉手术患者留置尿管的时间进行了对比研究，将200例患者随机分为两组：全身麻醉前导尿组，全身麻醉后导尿组。麻醉前导尿组均在麻醉前15 min留置尿管，麻醉后导尿组均在气管插管后留置尿管。 结果 全麻组导尿后心率、平均动脉压及舒适度较对照组稳定，差异有统计学意义（P＜0.05）。 结论 全身麻醉后导尿能缓解导尿的不适，为手术患者留置尿管最佳时机。
[关键词] 留置尿管；全身麻醉；舒适度
[中图分类号] R472.3 [文献标识码] B [文章编号] 2095-0616（2012）12-19-03
Analysis of indwelling catheter placement in the timing of general anesthesia operation patients"" comfort effects
LI Chunqin WU Furong
Operation Room, the Third People""s Hospital of Zigong City, Zigong 643020, China
[Abstract] Objective To observe the operation of general anesthesia with tracheal intubation in patients with indwelling catheter on heart rate, mean arterial pressure and the comfortable degrees. Methods Elective thoracic operation, tracheal intubation general anesthesia operation for patients with indwelling catheter time undertook comparative study, 200 cases were randomly divided into two groups: general anesthesia before urethral catheterization group, urethral catheterization before and after general anesthesia group. Anesthesia before urethral catheterization before anesthesia group at 15 min indwelling catheter after urethral catheterization, anesthesia groups in tracheal intubation after indwelling catheter. Results In general anesthesia group after catheterization heart rate, mean arterial pressure and comfort than the control group, there were significant differences. Conclusion Urethral catheterization before and after general anesthesia can alleviate the discomfort of urethral catheterization for patients with indwelling catheter operation, optimal timing.
[Key words] Indwelling catheter; General anesthesia; Comfort effects
留置导尿是术前准备的必须项目，是手术患者术前的常规治疗措施，是护理操作中最常用的方法，是大、中手术及长时间手术患者术前准备的重要内容。其目的是使手术患者排空膀胱，避免手术时误伤，防止术后尿潴留，同时观察尿液的颜色及量。导尿是否顺利直接影响术后患者的康复及手术的开展，有文献报道[1]为提高术前导尿患者舒适度，宜选择在全身麻醉后行导尿术。笔者所在医院自2006年开始实行手术患者入手术室后留置导尿管，以提高手术患者留置尿管的舒适度，免除术前留置尿管的恐惧感，并对全身麻醉手术患者留置尿管的时机进行了研究对比，现报道如下。
1 资料与方法
1.1 一般资料
选择2010年1月~2011年12月于笔者所在医院胸外科接受手术的患者200例，年龄20~75岁；男116例，女84例；其中食道癌95例、肺癌48例、纵隔肿瘤5例、气胸52例；无感觉障碍和精神障碍。美国麻醉医师协会（ASA）对患者全身情况术前评估Ⅰ~Ⅲ级，所有患者均接受气管插管全身麻醉。采用随机抽样分成两组：全身麻醉前导尿组100例，在全身麻醉气管插管前、患者清醒状态下留置尿管；全身麻醉后导尿组100例，全身麻醉气管插管后留置导尿管，两组患者在疾病差异、性别、年龄、术中尿量、术中输液量等资料比较（P＞0.05），差异无统计学意义，具有可比性。
