全麻胸腔镜下肺楔形切除术不留置导尿管可行性研究
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女,本科,主管护师,护士长

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Feasibility study of thoracoscopic wedge resection of the lung under general anesthesia without urinary catheter placement
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    摘要:

    目的 减少全麻胸腔镜下肺楔形切除术后麻醉苏醒期导尿管所致的患者躁动。方法 将182例全麻胸腔镜下肺楔形切除手术患者按照数字随机表法分为观察组(不留置导尿管)和对照组(留置导尿管),每组各91例 。比较两组术后麻醉苏醒期躁动例数、患者术后恢复原有排尿型态时间、膀胱刺激征发生率、尿潴留发生率等情况。结果 观察组术后恢复原有排尿型态时间显著短于对照组(P<0.01),苏醒期躁动、膀胱刺激征发生率显著低于对照组(P<0.05,P<0.01)。两组术后尿潴留发生率比较,差异无统计学意义(P>0.05)。结论 全麻胸腔镜下肺楔形切除手术不留置导尿管没有增加患者术后尿潴留发生率,不仅有利于患者尽快恢复正常排尿,还能显著降低患者麻醉苏醒期躁动和膀胱刺激征发生率,减轻患者痛苦。

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    Objective To reduce the restlessness caused by urinary catheter during postoperative recovery from anesthesia for the procedure of thoracoscopic wedge resection of the lung under general anesthesia. Methods Totally, 182 patients were to receive thoracoscopic wedge resection of the lung under general anesthesia were evenly randomized into an intervention group(without urinary catheter placement), and a control group (with urinary catheter placement). The outcomes of the two groups, including the number of cases of restlessness during postoperative recovery from anesthesia, the time to restore original urination after operation, the incidence rates of bladder irritation and urinary retention, were compared.Results The intervention group took shorter time to restore original urination after operation, and had lower incidence rate of restlessness during postoperative recovery from anesthesia and rate of bladder irritation signs, than the control group(P<0.05,P<0.01). The incidence rate of urinary retention had no significant difference between the 2 groups(P>0.05). Conclusion Thoracoscopic wedge resection of the lung under general anesthesia without urinary catheter placement didn't increase the incidence rate of postoperative urinary retention. Instead, the practice boosted restoration of original urination after operation, and significantly lower the incidence rate of restlessness during postoperative recovery from anesthesia and the rate of bladder irritation signs.

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赵舜珍,王沛如,钟天豪,陈秀梅,童弋凌.全麻胸腔镜下肺楔形切除术不留置导尿管可行性研究[J].护理学杂志,2020,35(12):31-33

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  • 收稿日期:2020-01-19
  • 最后修改日期:2020-03-22
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  • 在线发布日期: 2022-09-06