国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
23期
3411-3414
,共4页
腰硬联合麻醉%留置尿管%时机
腰硬聯閤痳醉%留置尿管%時機
요경연합마취%류치뇨관%시궤
Combined spinal and epidural anesthesia%Placement of urethral catheter%Timing
目的 探讨实施腰硬联合麻醉患者留置尿管的最佳时机.方法 选择300例行腰硬联合麻醉的患者,将其随机分A、B、C三组,分别有93、102、105例.A组在腰硬联合麻醉前留置尿管,B组在腰硬联合麻醉后5 min内留置尿管,C组为腰硬联合麻醉后5 min后留置尿管.所有患者分别在导尿前、导尿操作期间即刻记录血压、心率.在导尿后按疼痛程度评定标准评定三组患者在导尿操作过程中的疼痛程度.结果 与A、B两组患者相比,腰硬联合麻醉后5 min后留置尿管的C组患者在操作期间的收缩压(F=28.523,P=0.036)、舒张压(F=19.674,P=0.001)、心率(F=8.523,P=0.042)无明显变化,疼痛不适发生率最低(x2=16.415,P=0.025),且插管成功率最高(x2=11.631,P=0.042),差异有统计学意义.结论 手术患者腰硬联合麻醉后5 min后留置尿管时机最为适宜.
目的 探討實施腰硬聯閤痳醉患者留置尿管的最佳時機.方法 選擇300例行腰硬聯閤痳醉的患者,將其隨機分A、B、C三組,分彆有93、102、105例.A組在腰硬聯閤痳醉前留置尿管,B組在腰硬聯閤痳醉後5 min內留置尿管,C組為腰硬聯閤痳醉後5 min後留置尿管.所有患者分彆在導尿前、導尿操作期間即刻記錄血壓、心率.在導尿後按疼痛程度評定標準評定三組患者在導尿操作過程中的疼痛程度.結果 與A、B兩組患者相比,腰硬聯閤痳醉後5 min後留置尿管的C組患者在操作期間的收縮壓(F=28.523,P=0.036)、舒張壓(F=19.674,P=0.001)、心率(F=8.523,P=0.042)無明顯變化,疼痛不適髮生率最低(x2=16.415,P=0.025),且插管成功率最高(x2=11.631,P=0.042),差異有統計學意義.結論 手術患者腰硬聯閤痳醉後5 min後留置尿管時機最為適宜.
목적 탐토실시요경연합마취환자류치뇨관적최가시궤.방법 선택300례행요경연합마취적환자,장기수궤분A、B、C삼조,분별유93、102、105례.A조재요경연합마취전류치뇨관,B조재요경연합마취후5 min내류치뇨관,C조위요경연합마취후5 min후류치뇨관.소유환자분별재도뇨전、도뇨조작기간즉각기록혈압、심솔.재도뇨후안동통정도평정표준평정삼조환자재도뇨조작과정중적동통정도.결과 여A、B량조환자상비,요경연합마취후5 min후류치뇨관적C조환자재조작기간적수축압(F=28.523,P=0.036)、서장압(F=19.674,P=0.001)、심솔(F=8.523,P=0.042)무명현변화,동통불괄발생솔최저(x2=16.415,P=0.025),차삽관성공솔최고(x2=11.631,P=0.042),차이유통계학의의.결론 수술환자요경연합마취후5 min후류치뇨관시궤최위괄의.
Objective To investigate the optimal timing for placement of indwelling catheter in patients receiving combined spinal and epidural anesthesias (CSEA).Methods A total of 300 patients receiving combined spinal and epidural anesthesia were randomly divided into 3 groups.Group A received placement of urethral catheter before CSEA,Group B received placement within 5 minutes after CSEA,and Group C received placement more than 5 minutes after CSEA.Blood pressure,heart rate,level of procedure associated pain,and rate of successful intubation were compared among the three groups.Results As compared with groups A and B,there were no obvious changes in systolic pressure (F=28.523,P=0.036) and diastolic pressure (F=19.674,P=0.001) and heart rate (F=8.523,P=0.042) in group C.The incidence rate of pain was lowest in group C (x2 =16.415,P=0.025) and rate of successful intubation was highest (x2 =16.415,P=0.042).Conclusions The optimal timing for placement of indwelling catheter in patients receiving combined spinal and epidural anesthesia is more than 5 minutes after CSEA.
