不同麻醉方式手术患者留置尿管时机选择比较分析

目的观察不同麻醉方式的手术患者留置尿管的最佳时间。方法将2011年1月至2014年1月该院收治的28例因外科手术需要留置尿管的患者,根据麻醉方式及导尿时机选择将其分为腰-硬联合麻醉前留置尿管（Ⅰ前组）、腰-硬联合麻醉10 min后留置尿管（Ⅰ后组）、全身麻醉前留置尿管（Ⅱ前组）、全身麻醉10 min后留置尿管（Ⅱ后组）共四组,各7例。收集、分析相关数据,比较四组患者插管时心率、血压、并发症等各项指标。结果不同麻醉方式麻醉10 min后留置尿管,患者插管前后心率和血压比同种床醉方式麻醉前留置尿管稳定,且患者舒适度好、并发症少,差异均有统计学意义（P〈0.05）。结论无论是腰-硬联合麻醉还是全身麻醉的手术患者,留置尿管的最佳时间均为麻醉10 min后。

Comparative analysis of indwelling catheter time selection for various opertational anesthesia

Objective To investigate the best time of indwelling catheter for patients with various anesthesia ways. Methods From 2011 to January 2014,28 patients were admitted for indwelling catheter by surgical operation ,who were divided into four groups, e.g. the indwelling catheter before spinal-epidural combined anesthesia （Group Ⅰ -before ）, the indwelling catheter 10 minutes after spinal-epidural combined anesthesia （Group Ⅰ -after）, the indwelling catheter before general anesthesia （Group Ⅱ -before ）, the indwelling catheter 10 minutes after general anesthesia （Group Ⅱ -after）, 7 of each group. Collecting and analyzing relevant data, the heart rate, blood pressure, complications as well as other indicators were compared among the four groups. Results For those indwelling catheters 10 min after anesthesia,the heart rate and blood pressure before and after indwelling catheters of the patients were more stable and comfortable but had less complications under the same anesthesia ,which is statistically significant （P〈0.05）. Conclusion The patients engaged in either spinal-epidural combined anesthesia or general anesthesia, whose best time to indwelling catheters is 10 min after anesthesia.