CAJ | 학술논문

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.
목적 관찰신형일차성무통도뇨관대전신마취(전마)소성기환자도뇨관원성조동적방치효과.방법 200례전마하행보통외과수술환자수궤분위2조,관찰조(n=100)재전마유도후용신형일차성무통도뇨관행도뇨술,대조조(n=100)칙용보통기낭도뇨관행도뇨술,비교2조환자재전마소성기인도뇨관소치조동적발생솔、조동정도급도관탈출솔.결과 관찰조여대조조비교,후자도뇨관원성조동발생솔、조동정도명현고우전자(P＜0.01).결론 전마유도후치도뇨관가현저증가마취소성기조동적발생솔화조동정도,신형일차성무통도뇨관능유효예방소성기도뇨관원성조동.
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.