国际麻醉学与复苏杂志   2012, Issue (5): 3-3
    
全麻恢复期尿管相关膀胱刺激症的研究进展
洪甲庚, 刘风, 林梁1()
1.厦门市第一医院
Advances of catheter-related bladder discomfort during recovery from general anesthesia
 全文:
摘要:

背景:近年来,为了减轻外科手术患者术前留置尿管的紧张和疼痛刺激,常在全身麻醉后再行尿管置入术。然而在临床工作中却发现,全麻后置尿管会明显增加患者在麻醉恢复期的躁动程度,增加术后并发症的发生率。目的:提高对尿管刺激症(catheter-related bladder discomfort,CRBD)的重视,减少和避免因尿管刺激导致躁动的发生,不断提升恢复期的恢复质量。内容:重点综述CRBD可能的机制和近年来临床上的处理方法。趋向:CRBD的研究有利于提高全麻恢复质量并为病房患者留置尿管所致不适提供有效的处理措施。

关键词: 尿导管相关膀胱刺激症;全麻;躁动
Abstract:

[Abstract] Background :In recent years,in order to reduce patient’s nervousness and pain, urethral catheter usually was inserted after general anesthesia. However, we found that more patients inserted urethral catheter after general anesthesia agitated significantly during recovery period and the incidence of postoperative complications was increased. Objective: To recognize the importance of CRBD,avoid or decrease the discomforts induced by it and improve recovery satisfaction. Content :Review the possible mechanism and recent treatment of CRBD. Trend:The research of CRBD will improve the recovery quality of aneasthesia and provide effective treatment for discomfort of patients with urethral catheter in ward.

Key words: Catheter-related bladder discomfort;Ceneral anaesthesia;Agitation