CAJ | 학술논문

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。
목적：관찰불동마취방식적수술환자류치뇨관적최가시간。방법장2011년1월지2014년1월해원수치적28례인외과수술수요류치뇨관적환자，근거마취방식급도뇨시궤선택장기분위요-경연합마취전류치뇨관（Ⅰ전조）、요-경연합마취10 min후류치뇨관（Ⅰ후조）、전신마취전류치뇨관（Ⅱ전조）、전신마취10 min후류치뇨관（Ⅱ후조）공사조，각7례。수집、분석상관수거，비교사조환자삽관시심솔、혈압、병발증등각항지표。결과불동마취방식마취10 min후류치뇨관，환자삽관전후심솔화혈압비동충상취방식마취전류치뇨관은정，차환자서괄도호、병발증소，차이균유통계학의의（P<0.05）。결론무론시요-경연합마취환시전신마취적수술환자，류치뇨관적최가시간균위마취10 min후。
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(GroupⅠ-before),the indwelling catheter 10 minutes after spinal-epidural combined anesthesia(GroupⅠ-after),the indwelling catheter before general anesthesia(GroupⅡ-before),the indwelling catheter 10 minutes after general anesthesia(GroupⅡ-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. Re-sults 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 statisti-cally 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.