Effect of improved sponge cushion leg rest placement on hemodynamics and satisfaction of patients during general anesthesia urethral anastomosis surgery
Objective To investigate the effect of different leg rest placement on hemodynamics and satisfaction of patients during general anesthesia urethral anastomosis surgery.Methods A total of 200 patients receiving urethral anastomosis surgery in Shanghai Sixth People's Hospital from January 2021 to January 2022 were selected.They were divided into control group and observation group by random number table method,with 100 cases with each group.The control group received traditional rigid leg rest,and observation group received modified sponge cushion legrest.The mean arterial pressure(MAP),heart rate(HR),cardiac output(CO),and stroke volume(SV)betwe en two groups were compared before anesthesia induction(T0),immediately after anesthesia induction(T1),30 min after surgery(T2),and 15 min after surgery(T3);the residual urine volume and maximum urine flow rate at two and four weeks after surgery were compared between two groups;and the comfort scores and satisfaction scores between two groups were compared.Results The overall analysis showed that there were no significant differences in the inter-group and interaction of MAP,HR,CO,and SV between two groups(P＞0.05),while there was significant difference in the time effect of MAP,HR,CO,and SV between two groups(P＜0.05).Intra-group comparison:compared with T 0,MAP,HR,CO,and SV of control group were decreased at T1-T2,and CO and SV were decreased at T3(P＜0.05);compared with T1,HR of control group was decreased at T2,and MAP,HR,CO,and SV were increased at T3(P＜0.05);compared with T2,MAP,HR,CO,and SV of control group were increased at T3(P＜0.05).Compared with T0,MAP,HR,CO,and SV of observation group were decreased at T1-T2,and CO and SV were decreased at T3(P＜0.05);compared with T1,MAP,HR,CO,and SV of observation group were increased at T3(P＜0.05);compared with T2,MAP,HR,CO,and SV of observation group were increased at T3(P＜0.05).Comparison between groups:there were no significant differences in MAP,HR,CO,and SV between two groups at T1-T3(P＞0.05).Compared with two weeks after surgery,residual urine volume decreased and maximum urine flow rate increased between two groups at four weeks after surgery(P＜0.05);there were no significant differences in residual urine volume and maximum urine flow rate between two and four weeks after surgery(P＞0.05).The psychological and physiological scores of observation group were higher than those of control group(P＜0.05);there were no significant differences in social culture and environment scores between two groups(P＞0.05).The satisfaction of observation group was better than that of control group(P＜0.05).Conclusion In general anesthesia urethral anastomosis surgery,the improved sponge cushion leg rest can effectively improve the comfort and satisfaction of patients compared with the traditional rigid leg rest.
Improved sponge cushion leg restGeneral anesthesiaUrethral anastomosis surgeryPositionHemodynamicsComfort levelSatisfaction
万方数据
维普
