CAJ | 학술논문

目的针对麻醉前后导尿对患者的生理反应、不适程度及非肾小球性红细胞检出率进行对照研究,探讨留置导尿的最佳时机.方法将100例妇科手术患者随机分为两组,每组50例,实验组患者手术室麻醉后留置导尿,对照组患者进入手术室前半小时在病房导尿.比较两组患者导尿前、导尿时的脉搏、血压、不适程度,监测导尿后尿液中非肾小球性红细胞的阳性结果.结果对照组患者插管时的脉搏、血压高于插管前,差异有统计学意义(P＜0.05)；实验组患者插管前后脉搏、血压无变化(P＞0.05)；对照组和实验组患者导尿后尿液中非肾小球性红细胞阳性检出率第1次分别为30.0％,12.0％,第2次分别为24.0％,6.0％,差异均有统计学意义(x2值分别为4.882,6.353;P＜0.05)；对照组患者导尿时不适程度高于实验组患者,差异有统计学意义(P＜0.01).结论为了减少术前导尿引起的不适和尿道黏膜损伤,导尿宜选择麻醉后.
목적 침대마취전후도뇨대환자적생리반응、불괄정도급비신소구성홍세포검출솔진행대조연구,탐토류치도뇨적최가시궤.방법 장100례부과수술환자수궤분위량조,매조50례,실험조환자수술실마취후류치도뇨,대조조환자진입수술실전반소시재병방도뇨.비교량조환자도뇨전、도뇨시적맥박、혈압、불괄정도,감측도뇨후뇨액중비신소구성홍세포적양성결과.결과 대조조환자삽관시적맥박、혈압고우삽관전,차이유통계학의의(P＜0.05)；실험조환자삽관전후맥박、혈압무변화(P＞0.05)；대조조화실험조환자도뇨후뇨액중비신소구성홍세포양성검출솔제1차분별위30.0％,12.0％,제2차분별위24.0％,6.0％,차이균유통계학의의(x2치분별위4.882,6.353;P＜0.05)；대조조환자도뇨시불괄정도고우실험조환자,차이유통계학의의(P＜0.01).결론 위료감소술전도뇨인기적불괄화뇨도점막손상,도뇨의선택마취후.
Objective To explore the best time of catheterization so as to reduce patients' physiological responses,discomfort,and the detection rate of non-glomerular red blood cells caused by catheterization before and after anesthesia,and explore.Methods.Totals of 100 cases received gynecological surgery were randomly divided into experimental group( n =50) and control group (n =50 ).In the experimental group catheterization was applied after anesthesia,while in the control group half an hour before entered the operating room in the ward.The pulse,blood pressure,and discomfort of two groups were recorded before and after catheterized,and the positive of non-glomerular red blood cells in urine after catheterization were monitored.Results There was significantly difference in the plus systolic,blood pressure before and after catheterization in control group (P ＜0.05 ),while no significantly difference was detected in experimental group( P ＞ 0.05 ).The positive rate of nonglomerular red blood cells in control group and experimental group respectively was 30.0％ and 12.0％ in the first test,and the second was 24.0％ and 6.0％,the difference was statistically significant ( x2 = 4.882,6.353,respectively ;P ＜ 0.05 ).The discomfort level in control group was significantly higher than that in experimental group (P ＜ 0.01 ).Conclusions In order to reduce the discomfort and mucosal injury caused by catheterization,the best time to be select is after anesthesia.