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。目的提高对导尿管相关膀胱刺激症（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。
Background In recent years, in order to reduce patient＇s nervousness and pain, urethral catheters usually were inserted after general anesthesia. However, we found that more patients with inserted urethral catheter after general anesthesia were agitated significantly during the recovery period and the incidence of postoperative complications were also increased. Objective To highlight the importance of catheter-related bladder discomfort（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 anesthesia and provide effective treatment for discomfort of patients with urethral catheterization in the ward.
出处
《国际麻醉学与复苏杂志》
CAS
2012年第5期334-338,共5页
International Journal of Anesthesiology and Resuscitation
关键词
导尿管相关膀胱刺激症
全麻
躁动
Catheter-related bladder discomfort
General anaesthesia
Agitation
