超声引导下髂腹下－髂腹股沟神经阻滞应用于男性全身麻醉后导尿管 相关膀胱刺激征临床效果的回顾性研究.

Objective: To investigate the clinical effect of ultrasound-guided ilio-hypoabdominal/ilio-inguinal nerve block on catheter-related bladder discomfort (CRBD) after general anesthesia in male. Methods: The clinical data of 60 male patients with lower extremity debridement, skin flap transfer or skin grafting under elective general anesthesia who needed indwelling catheter in our hospital were retrospectively analyzed. The patients were divided into observation group and control group according to whether ultrasound-guided ilio-hypoabdominal/ilio-inguinal nerve block was performed. After general anesthesia, the observation group was subjected to ultrasound-guided ilio-hypoabdominal/ilio-inguinal nerve block. After nerve block, catheter indwelling was performed. After anesthesia induction, the control group underwent catheter indwelling. CRBD severity score and Riker sedation agitation score were recorded 10 min (T1), 1h (T2), 3h (T3) after tracheal catheter removal. Systolic blood pressure (SBP), diastolic blood pressure (DBP） and heart rate (HR) were recorded before operation (T0) and at the corresponding time points of T1, T2 and T3, The awakening quality and anesthesia related adverse reactions were compared between the two groups. Results: The CRBD severity score and Riker sedation agitation score in the observation group at each period after operation were significantly lower than those in the control group (P<0.05).The SBP, DBP and HR in the observation group were significantly lower than those in the control group at each period after operation (P<0.05）. The proportion of unplanned use of analgesics and unplanned removal of urinary catheter in PACU in the observation group were lower than those in the control group, and the PACU residence time was shorter than that in the control group (P<0.05）. There was no significant difference in the incidence of anesthesia related adverse reactions between the two groups (P>0.05）. Conclusion: Ultrasound-guided ilio-hypoabdominal/ilio-inguinal nerve block is easy to operate and has a definite effect on reducing CRBD after general anesthesia. The patients have good tolerance to urinary catheters, more stable postoperative hemodynamics and circulation, and higher quality of awakening. [ABSTRACT FROM AUTHOR]