首页 | 本学科首页   官方微博 | 高级检索  
检索        

无痛导尿管预防全身麻醉苏醒期患者导尿管源性躁动
引用本文:孙建良,陆雅萍,黄冰,屠海林,周煦燕,陈巧妹,郭淑敏,宗酉明.无痛导尿管预防全身麻醉苏醒期患者导尿管源性躁动[J].中华医学杂志,2008,88(25):1750-1752.
作者姓名:孙建良  陆雅萍  黄冰  屠海林  周煦燕  陈巧妹  郭淑敏  宗酉明
作者单位:1. 嘉兴学院医学院附属第一医院麻醉科,314000
2. 浙江省嘉兴市妇幼保健院ICU
基金项目:浙江省科学技术厅计划项目 
摘    要:目的 观察新型一次性无痛导尿管对全身麻醉(全麻)苏醒期患者导尿管源性躁动的防治效果.方法 200例全麻下行普通外科手术患者随机分为2组,观察组(n=100)在全麻诱导后用新型一次性无痛导尿管行导尿术,对照组(n=100)则用普通气囊导尿管行导尿术,比较2组患者在全麻苏醒期因导尿管所致躁动的发生率、躁动程度及导管脱出率.结果 观察组与对照组比较,后者导尿管源性躁动发生率、躁动程度明显高于前者(P<0.01).结论 全麻诱导后置导尿管可显著增加麻醉苏醒期躁动的发生率和躁动程度,新型一次性无痛导尿管能有效预防苏醒期导尿管源性躁动.

关 键 词:麻醉和镇痛  麻醉药  全身  导尿管  躁动

Effect of a novel analgesic disposable urinary catheter in prevention of restlessness caused by catheter-related bladder discomfort in general anesthesia patients in recovery period
SUN Jian-liang,LU Ya-ping,HUANG Bing,TU Hai-lin,ZHOU Xi-yan,CHEN Qiao-mei,GUO Shu-min,ZONG You-ming.Effect of a novel analgesic disposable urinary catheter in prevention of restlessness caused by catheter-related bladder discomfort in general anesthesia patients in recovery period[J].National Medical Journal of China,2008,88(25):1750-1752.
Authors:SUN Jian-liang  LU Ya-ping  HUANG Bing  TU Hai-lin  ZHOU Xi-yan  CHEN Qiao-mei  GUO Shu-min  ZONG You-ming
Abstract:Objective To investigate the effect of a novel analgesic disposable urinary catheter invented by the authors in prevention of restlessness caused by catheter-related bladder discomfort (CRBD)in general anesthesia patients in anesthesia recovery period. Methods Two hundred patients, who underwent general anesthesia for general surgical operation, were divided randomly into 2 equal groups:observation group, undergoing insertion of F16 novel analgesic disposable Foley urinary catheter after inducement of general anesthesia, and control group undergoing insertion of conventional F16 Foley urinary catheter after induction of anesthesia. The rate of restlessness caused by CBRD and the rate of catheter pulling-off were compared. Results The CRBD rate of the observation group was 9%, significantly lower than that of the control group (61%, P<0.01 ), the rate of CRBD-caused restlessness of the observation group was 0, significantly lower then that of the control group (23%, P<0.001 ). The extent of CRBD of the observation group was significantly lighter than that of the control group. Conclusion The catheter inserting after the induction of anesthesia is an element related to the restlessness in anesthesia recovery period and other serious postoperative complications.The novel analgesic disposable urinary catheter effectively prevents CRBD-caused restlessness in general anesthesia patients in the anesthesia recovery period.
Keywords:Analgesia and analgesia  Anesthetics  general  Urinary catheterization  Psychomotor agitation
本文献已被 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号