Timing of indwelling catheter before and after general anesthesia for male patients who pull out the catheterwithin 24 hours after waking up
男性全麻患者麻醉清醒后24h内拔出尿管麻醉前及麻醉后留置尿管时机选择

摘要

目的 探究男性患者在全麻的条件下，在麻醉前留置尿管拔出的最佳时机，以提高男性手术患者对留置尿管的耐受性。方法 将2021年1月～2022年1月来我院接受治疗的144例行手术的男性患者随机分为麻醉前留置尿管，麻醉清醒前拔出尿管的A组、麻醉前留置尿管，麻醉清醒后24小时内拔出尿管B组、麻醉后留置尿管，麻醉清醒前拔出尿管的C组以及麻醉后留置尿管，麻醉清醒后24小时内拔出尿管的D组，共4组，各36例，观察4组拔管时、拔管后5min、10min血压、心率及在麻醉后恢复室期间留观时间、并发症情况。结果 D组拔管时、拔管后5min、10min血压、心率指标明显优于A、B、C三组，（P＜0.05）；D组留观时间短于A、B、C三组，（P＜0.05）；D组并发症总发生率1（2.78%）短于A组的4（11.11%）、B组的5（13.89%）、C组的4（11.11%），（P＜0.05）。结论 男在麻醉后留置尿管，麻醉清醒后24小时内拔出尿管，能有效减轻导尿管对膀胱、尿道的刺激，降低并发症发生率，促进患者快速排尿，有助于患者膀胱排尿功能及早恢复。

Abstract

Objective To explore the best time for male patients to pull out the indwelling catheter before anesthesia under the condition of general anesthesia, so as to improve the tolerance of male surgical patients to indwelling catheter.
Methods 144 male patients who received surgery in our hospital from January 2021 to January 2022 were randomly divided into four groups: group A with catheter indwelling before anesthesia, group A with catheter indwelling before anesthesia, group B with catheter indwelling within 24 hours after anesthesia, group C with catheter indwelling before anesthesia and group D with catheter indwelling within 24 hours after anesthesia, The blood pressure and heart rate at extubation, 5 and 10 minutes after extubation, and the observation time and complications in the recovery room after anesthesia were observed in the four groups.
Results The indexes of blood pressure and heart rate at extubation, 5 min and 10 min after extubation in group D were significantly better than those in group A, B and C(P<0.05);The observation time of group D was shorter than that of group A, B and C(P<0.05);The total incidence of complications in group D was 1(2.78%)less than that in group A(11.11%),group B(13.89%),and group C(11.11%)(P<0.05).
Conclusion   Male indwelling catheter after anesthesia and pulling out the catheter within 24 hours after anesthesia can effectively reduce the stimulation of catheter to bladder and urethra, reduce the incidence of complications, promote rapid urination, and help patients recover bladder urination function as soon as possible.