摘要目的 探讨单纯采用全身麻醉手术患者全麻前后留置导尿管对术后不适的影响.方法 运用Meta分析方法 对我国1998-2008年公开发表的有关全麻前后留置导尿管对术后舒适度影响的病例对照研究共6篇文献进行定量综合分析.结果 6篇文献7组病例共1477例患者符合纳入标准并进入研究.全麻前组与全麻后组进行留置导尿管,其术后的舒适度差异显著,采用随机效应模型,合并OR值及95%可信区间为0.12(0.05,0.30).结论 全麻前留置导尿管对减轻术后导致的不适有着预防作用,是手术前留置导尿管的最佳时机.

abstractsObjective In order to know the influence of different time of indwelling urinary catheteron postoperative comfortation of patients with general anesthesia. Methods Six ease-control studies re-lated the influence of different time of indwelling urinary catheter on postoperative eomfortation of patientswith general anesthesia had analyzed by Meta-analysis method. Results According to the results ofMeta-analysis from the 6 documents, the postoperative comfortable level of patients with indwelling urinarycatheter before general anesthesia was better than patients with indwelling urinary catheter after generalanesthesia, OR=0.12(0.05～0.30). Conclusions Indwelling urinary catheter before general anesthesia can prevent postoperative uncomfortation, which is a kind of proper method.