麻醉前后留置尿管对围手术病人的影响

目的比较麻醉前后留置尿管对围手术病人的优缺点。方法选取择期手术病人100例，ASAI～Ⅲ级，随机分为两组，A组（n=50）为麻醉前清醒状态下病房常规留置尿管，B组（n=50）为麻醉后手术室留置尿管，观察并记录两组病人在留置尿管前后心率、血压的变化，非肾小球性RBC检验结果，手术后病人满意度调查报告。结果麻醉后留置尿管在病人刺激和应激反应，并发症发生，病人满意度方面明显优于麻醉前清醒置管组。结论在整体护理模式下，麻醉后留置尿管充分体现了人性化护理特点，对病人生理、心理刺激小，病人舒适、满意，在临床上值得推广应用。

AFFECT OF THE URINARY CATHETER INDWELLING ON PERI-OPERATIVE PATIENTS BEFORE AND AFTER ANESTHESIA

Objective To explore the advantages and disadvantages of urinary catheter Indwelling on peri - operative patients before and after anesthesia. Methods 100 patients were selected and divided into 2 groups at random. Group A is the one being indwelled before anesthesia. Group B is the one being indwelled after anesthesia. Heart rate and blood pressure were recorded, and satisfaction scores of the patients were taken. Results In group A, the irritation of indwelling urinary catheter, the patient＇s stress reaction and satisfaction is obviously superior than group B. Conclusion In the mode of integrated nursing, Urinary Catheter Indwelling after anesthesia is harmless to patient, in both physiological and mental way, which incarnates the characteristics of humanized nursing, and is worthy to promote in clinical application.