CAJ | 학술논문

目的：探讨老年男性患者行全麻手术进行导尿的最佳时机。方法：150例老年男性全麻手术患者随机分为A、B、C 3组，每组50例，分别在麻醉前、麻醉诱导期、麻醉后10min进行导尿。观察3组入室后麻醉前、导尿时的心率和血压，对比3组患者导尿时、导尿后1d的舒适度和拔除气管导管后30min内躁动的发生情况。结果：3组患者入室后麻醉前的心率及血压的差异均无统计学意义（均 P＞0．05）；导尿时 A、B组患者的心率均较入室后麻醉前加快（P＜0.01）。A组患者的收缩压及舒张压、B组患者的收缩压较入室后麻醉前升高且高于同期的C组（P＜0．01）。C组心率及血压较平稳（P＞0．05）。导尿时及导尿后1d时C组患者的舒适度优于A、B组（均 P＜0．01），且术后躁动的发生率均较A、B组低（P＜0．05），发生术后躁动的程度亦较A、B组低（P＜0．01或0．05）。结论：老年男性全麻手术老患者选择在麻醉后10min行导尿术，利于术期心率、血压稳定，有效提升导尿舒适度和降低术后躁动的发生率及程度。
목적：탐토노년남성환자행전마수술진행도뇨적최가시궤。방법：150례노년남성전마수술환자수궤분위A、B、C 3조，매조50례，분별재마취전、마취유도기、마취후10min진행도뇨。관찰3조입실후마취전、도뇨시적심솔화혈압，대비3조환자도뇨시、도뇨후1d적서괄도화발제기관도관후30min내조동적발생정황。결과：3조환자입실후마취전적심솔급혈압적차이균무통계학의의（균 P＞0．05）；도뇨시 A、B조환자적심솔균교입실후마취전가쾌（P＜0.01）。A조환자적수축압급서장압、B조환자적수축압교입실후마취전승고차고우동기적C조（P＜0．01）。C조심솔급혈압교평은（P＞0．05）。도뇨시급도뇨후1d시C조환자적서괄도우우A、B조（균 P＜0．01），차술후조동적발생솔균교A、B조저（P＜0．05），발생술후조동적정도역교A、B조저（P＜0．01혹0．05）。결론：노년남성전마수술로환자선택재마취후10min행도뇨술，리우술기심솔、혈압은정，유효제승도뇨서괄도화강저술후조동적발생솔급정도。
Objective :To investigate the best time of catheterization of male patients undergoing general anesthesia op-eration .Methods:150 cases of elderly male patients with general anesthesia operation were randomly divided into A ,B , C three groups ,50 cases in each group ,respectively ,before anesthesia ,anesthesia induction ,10min after anesthesia catheterization .Observation of heart rate and blood pressure of 3 groups before anesthesia ,after entering the room dur-ing catheter ,agitation occurs within 30 min compared 3 groups of patients with catheterization ,urethral catheterization after 1day of the comfort and the situation after tracheal extubation .Results:3 patients from differences in heart rate and blood pressure before anesthesia showed no statistical significance (P>0 .05);A ,B group catheter in patients with heart rate than from anesthesia before speeding up (P<0 .01) .Group A patients with systolic and diastolic blood pres-sure ,systolic blood pressure in patients with B group than from before anesthesia increase and higher than group C (P<0 .01) .C group of heart rate and blood pressure is stable (P>0 .05) .Catheterization and catheterization after 1 day comfort in C group is better than A ,B group (all P<0 .01) ,and the incidence of postoperative agitation rate were lower than A ,B group(P<0 .05) ,the incidence of postoperative agitation level were lower than A ,B group (P< 0 .01 or 0.05) .Conclusion:Elderly male general anesthesia operation in old patients with 10 min after anesthesia catheterization , heart rate ,blood pressure stable to operation period ,effectively enhance the catheterization comfort and agitation re-duces the incidence and degree of postoperative .