Effect of ear acupiont bean pressure on urinary catheter-related bladder irritation in male patients after general anesthesia

Authors
Category Primary study
Registry of TrialsITMCTR
Year 2023
INTERVENTION: Intervention group:(1) Under the guidance of experts in Traditional Chinese medicine, 8 auricular points of bladder, Shenshu, urethra, Sanjiao, cortical, Shenmen, sympathetic and Xinshu were selected and operated by qualified nurses in our department after homogenization training. After the ear skin was disinfected with alcohol, the ear point probing stick was applied to find the corresponding acupoints, and the King's seeds were fixed at the selected acupoints. The acupoints were pressed by point pressure method, counterpressure method and direct pressure method. The patient felt acid, distension, numbness, pain, etc. as the degree, and the patient's ear skin was flushed, felt hot, and tolerance was appropriate, 5min/ time, and then the other ear was replaced for operation. (2) On the basis of the control group, the patients in the auricular point pressure bean group started the first intervention 30 minutes before surgery after the selected points, the second intervention was performed within 5 minutes after entering the resuscitation room, the third intervention was performed 6 hours after awakening, and the intervention was performed every 6‐8 hours until the urinary tube was removed for 24 hours.;Control group:(1) All patients were interviewed on the day before the operation to evaluate the anesthesia grade and general condition of the patients, and to give routine surgery and anesthesia related health guidance, and to answer questions and psychological counseling. (2) After entering the operating room, blood pressure, electrocardiogram, blood oxygen saturation, and end‐expiratory carbon dioxide were routinely monitored, and intravenous access was opened and compound sodium chloride was administered. All patients were given anesthesia induction and maintenance by CONDITION: catheter‐related bladder irritation PRIMARY OUTCOME: Incidence and severity of bladder irritation; SECONDARY OUTCOME: The hemodynamic indexes, including mean arterial pressure MAP, heart rate HR and blood oxygen saturation SPO2, were compared between the two groups at each time point after surgery;The bladder function (mean urine flow rate and maximum urine flow rate) of the two groups were compared the next morning after catheter removal.;The overall satisfaction of the two groups in perioperative period was compared.;The general recovery quality indexes were compared between the two groups. Including waking time, pain, chills, nausea and vomiting.; INCLUSION CRITERIA: (1) Male; (2) Age 18‐60 years old; (3) BMI 18‐23.9 kg /m2; (4) General anesthesia; Non‐emergency surgery; (5) No history of present disease and past history of urinary system; (6) Indwelling catheters were placed after general anesthesia induction; (7) American Society of Anesthesiologists (ASA) grade I ‐ II; (8) no serious cardiopulmonary and cerebrovascular diseases; (9) no dysfunction of vital organs such as liver and kidney; (10) Sign informed consent.
Epistemonikos ID: d4206eeff4c7fff06fd733aaa837dfc802a01f11
First added on: Aug 26, 2024