国际麻醉学与复苏杂志   2023, Issue (1): 0-0
    
神经阻滞预防全麻术后导尿管相关膀胱不适的研究进展
马跃, 陈静文, 魏铭, 王玉1()
1.哈尔滨医科大学附属肿瘤医院
Research progress on nerve blocks in preventing catheter‑related bladder discomfort after general anesthesia
 全文:
摘要:

全麻手术患者会在术前留置尿管以防尿潴留损伤膀胱。但尿管作为异物会使患者在麻醉苏醒时出现不适感觉,表现为耻骨上方疼痛、尿道灼烧感、有排尿冲动,称为导尿管相关膀胱不适(catheter‑related bladder discomfort, CRBD)。CRBD会引发全麻苏醒期躁动,导致术后并发症增加。文章综述了CRBD的发生机制、分级与预后,以及近年国内外预防CRBD使用的几种神经阻滞方法,为麻醉医师的选择提供参考。

关键词: 神经阻滞; 导尿管相关膀胱不适; 麻醉; 躁动; 干预
Abstract:

Patients undergoing general anesthesia are often inserted with catheter before surgery to prevent urinary retention against bladder damage. However, the catheter as a foreign body may result in discomfort during recovery from anesthesia, which are characterized in catheter‑related bladder discomfort (CRBD), including pain above the pubic bone, urethra burning sensation, and impulse to urinate. CRBD may induce agitation during general anesthesia and lead to increased postoperative complications. This paper reviews the pathogenesis, classification and prognosis of CRBD, and introduces several methods of nerve blocks to prevent CRBD at home and abroad in recent years, so as to provide reference for anesthesiologists.

Key words: Nerve block; Catheter‑related bladder discomfort; Anaesthesia; Agitation; Intervention