Timing and methods of indwelling catheterization for general anesthesia male surgical patients
10.7619/jcmp.201810015
- VernacularTitle:男性手术全身麻醉患者留置导尿时机及方法的探讨
- Author:
Qinmei WU
1
;
Zhenhua LIU
;
Lijuan HUANG
Author Information
1. 江苏省南通市通州区中医院手术室
- Keywords:
general anesthesia;
male patients;
indwelling catheterization;
timing of catheterization
- From:
Journal of Clinical Medicine in Practice
2018;22(10):51-53,64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the optimum time and method of indwelling urethral catheterization for male patients undergoing general anesthesia.Methods A total of 90 male patients undergoing elective general anesthesia were randomly divided into three groups.Group A (n =30) received urethral injection of lidocaine glue from the urethra before induction of general anesthesia and then carried out urethral catheterization,group B conducted urethral catheterization after induction of general anesthesia,and group C was injected with lidocaine gel before catheterization after general anesthesia induction.The changes of heart rate and blood pressure were compared between the three groups before urethral catheterization,and urethral irritation and restlessness score when urethral catheterization,awaken time of anesthesia,after returning to the ward were compared in the three groups.Results Group A had higher preoperative and postoperative heart rate and blood pressure than operation before (P ＜ 0.05),but there was no significant difference between group B and group C after urethral catheterization (P ＞ 0.05).Urethral irritation in group A was more obvious,but there was no stimulation in group B and group C,and was significantly higher in group A than that in groups B and C,was higher in group B in awaken period of anesthesia and after returning to ward,than groups A and C (P ＜ 0.05).The restlessness score in group B was significantly higher than that in groups A and C (P ＜ 0.05),but no significant difference between group A and group C was observed (P ＞ 0.05).Conclusion After general anesthesia induction,urethral injection of lidocaine glue before indwelling urethral catheterization can effectively alleviate blood pressure and heart rate increase due to male patients'privacy,and urethral stimulation,and reduce incidence of restlessness of male patients with general anesthesia.
