男性全麻患者麻醉前留置尿管拔出时机选择-临床护理进展-CSCIED科技核心评价数据库-手机版

男性全麻患者麻醉前留置尿管拔出时机选择

Timing of pulling out indwelling catheter before general anesthesia in male patients

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DOI	10.12208/j.jacn.20230247
刊名	临床护理进展 Journal of Advances in Clinical Nursing
年，卷(期)	2023, 2(6)
作者	史雪燕*,
作者单位	成都市双流区第一人民医院四川成都 ;
摘要	探究男性全麻患者，在麻醉前留置尿管拔出的最佳时机。方法选择2020年2月到2022年3月来我院接受治疗的144男性全麻患者，按照入院单双号分为对照组72例与观察组72例，观察两组拔管后对尿管的耐受性及麻醉前、拔管后24 h平均血压、心率变化，确定拔出尿管的最佳时机。结果对照组中度反应7例，占比9.72%，轻度反应18例，占比25.00%，无反应6例，占比8.33%；观察组中度反应1例，占比1.39%，轻度反应14例，占比19.44%，无反应16例，占比22.22%。观察组拔管后尿管耐受程度优于对照组（P＜0.05）；拔管前，对照组HR（72.13±1.01）次/min、SBP（125.01±0.91）mmHg、DBP（80.44±0.88）mmHg，观察组HR（73.94±0.77）次/min、SBP（123.83±0.54）mmHg、DBP（79.44±0.74）mmHg；拔管后，对照组HR（85.22±1.21）次/min、SBP（125.11±2.18）mmHg、DBP（84.06±1.21）mmHg，观察组HR（83.23±1.23）次/min、SBP（120.01±2.35）mmHg、DBP（81.12±1.36）mmHg。观察组24 h平均血压、心率显著优于拔管前以及对照组（P＜0.05）。结论男性全麻患者麻醉前拔出导尿管，可提高患者舒适度。
Abstract	Objective To explore the best time to pull out the indwelling catheter for male patients under general anesthesia before anesthesia. Methods 144 male general anesthesia patients who were treated in our hospital from February 2020 to March 2022 were selected and divided into the control group (72 cases) and the observation group (72 cases) according to the admission single and double number. The tolerance of the two groups to the catheter after extubation and the changes of the average blood pressure and heart rate before and 24 hours after extubation were observed to determine the best time to pull out the catheter. Results In the control group, 7 cases had moderate reactions, accounting for 9.72%, 18 cases had mild reactions, accounting for 25.00%, and 6 cases had no reactions, accounting for 8.33%; In the observation group, there was 1 moderate reaction, accounting for 1.39%, 14 mild reactions, accounting for 19.44%, and 16 no reactions, accounting for 22.22%. The tolerance of the observation group was better than that of the control group (P＜0.05); Before extubation, the control group had HR (72.13 ± 1.01) times/min, SBP (125.01 ± 0.91) mmHg, and DBP (80.44 ± 0.88) mmHg, while the observation group had HR (73.94 ± 0.77) times/min, SBP (123.83 ± 0.54) mmHg, and DBP (79.44 ± 0.74) mmHg; After extubation, the control group had HR (85.22 ± 1.21) times/min, SBP (125.11 ± 2.18) mmHg, and DBP (84.06 ± 1.21) mmHg, while the observation group had HR (83.23 ± 1.23) times/min, SBP (120.01 ± 2.35) mmHg, and DBP (81.12 ± 1.36) mmHg. The 24h mean blood pressure and heart rate in the observation group were significantly better than those before extubation and those in the control group (P<0.05). Conclusion Pulling out the catheter before general anesthesia can improve the comfort of male patients.
关键词	男性；全麻患者；麻醉前；留置尿管；拔出时机
KeyWord	Male; Patients under general anesthesia; Before anesthesia; Indwelling catheter; Pulling out time
基金项目
页码	84-86

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引用本文

史雪燕*. 男性全麻患者麻醉前留置尿管拔出时机选择 [J]. 临床护理进展. 2023; 2; (6). 84 - 86.

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