CAJ | 학술논문

目的探讨择期手术患者无痛导尿术的可行性.方法 100例手术前须留置导尿管患者随机分为实验组(50例,采用无痛导尿术-全身麻醉或椎管内麻醉生效后按无菌技术操作原则的要求进行导尿)、对照组(50例,麻醉前按常规无菌技术操作原则的要求进行导尿).监测两组患者尿道黏膜的损伤程度,评估疼痛程度.结果实验组患者尿道黏膜的损伤程度、疼痛程度明显低于对照组,两者差异均有显著的统计学意义(P<0.01).结论择期手术患者手术前需留置导尿管者采用无痛导尿术,可减轻尿道黏膜的损伤程度,减轻疼痛程度,提高一次插管成功率.
목적 탐토택기수술환자무통도뇨술적가행성.방법 100례수술전수류치도뇨관환자수궤분위실험조(50례,채용무통도뇨술-전신마취혹추관내마취생효후안무균기술조작원칙적요구진행도뇨)、대조조(50례,마취전안상규무균기술조작원칙적요구진행도뇨).감측량조환자뇨도점막적손상정도,평고동통정도.결과 실험조환자뇨도점막적손상정도、동통정도명현저우대조조,량자차이균유현저적통계학의의(P<0.01).결론 택기수술환자수술전수류치도뇨관자채용무통도뇨술,가감경뇨도점막적손상정도,감경동통정도,제고일차삽관성공솔.
Objective To study the clinical application of anodynia urethral catheterization for the pa-tients undergoing selective operation. Methods 100 preoperative patients needed urethral catheterization were di-vided into two groups with 50 cases each, routine urethral catheterization as control group and urethral catheteriza-tion during general anesthesia or spinal anesthesia as test group. The degree of mucous membrane of urethra injury was observed and the painfulness was evaluated. Results Compared with the degree of mucous membrane of ure-thra injury and the painfulness in both groups, it may significantly reduce the urethra injury and painfulness in the teat group. Conclusions The urethra injury and pain may be reduced for the patients undergoing selective opera-tion with urethral catheterization during general anesthesia or spinal anesthesia, and also easier to succeed for ure-thral catheterization.