[1]齐　英,黄佳妮,李　红,等.膀胱功能训练预防妇科良性疾病术后患者尿潴留的效果[J].新乡医学院学报,2016,33(11):970-972.[doi:10.7683/xxyxyxb.2016.11.009]
　QI Ying,HUANG Jia-ni,LI Hong,et al.Preventive effect of bladder function training against postsurgery urinary retention in benign gynecologic diseases[J].Journal of Xinxiang Medical University,2016,33(11):970-972.[doi:10.7683/xxyxyxb.2016.11.009]
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膀胱功能训练预防妇科良性疾病术后患者尿潴留的效果
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年11
页码:
970-972
栏目:
临床研究
出版日期:
2016-11-05

文章信息/Info

Title:
Preventive effect of bladder function training against postsurgery urinary retention in benign gynecologic diseases
作者:
齐　英1; 黄佳妮1; 李　红2; 高　伟2; 顾梅花1; 李旖兹1; 吴晓蓉1
(1.上海交通大学医学院附属国际和平妇幼保健院妇科病房,上海　200030；2.上海交通大学医学院附属国际和平妇幼保健院护理部,上海　200030）
Author(s):
QI Ying1; HUANG Jia-ni1; LI Hong2; GAO Wei2; GU Mei-hua1; LI Yi-zi1; WU Xiao-rong1
（1.Department of Gynecological Ward,the International Peace Maternity and Child Health Hospital Affiliated to Shanghai Jiao Tong University School of Medical，Shanghai 200030,China;2.Department of Nursing,the International Peace Maternity and Child Health Hospital Affiliated to Shanghai Jiao Tong University School of Medical，Shanghai 200030,China）
关键词:
膀胱功能锻炼; 妇科手术; 尿潴留
Keywords:
bladder training; gynecologic surgery; urinary retention
分类号:
R694+.55
DOI:
10.7683/xxyxyxb.2016.11.009
文献标志码:
A
摘要:
目的　探讨2种不同膀胱功能训练方法预防妇科良性疾病术后尿潴留的效果。方法　将2013年10月至2015年5月上海交通大学医学院附属国际和平妇幼保健院收治的120例妇科良性疾病术后留置尿管≥48 h的患者分为观察组60例和对照组60例。观察组拔管前夹闭尿管训练膀胱功能至患者有尿意时将尿管拔除，对照组在拔管前24 h即开始每3 h夹管1次训练膀胱功能。比较2组患者首次排尿时间、B超残余尿和膀胱功能恢复情况。结果　观察组和对照组患者首次排尿时间分别为（6.067±2.761）、（12.750±9.663）min，B超残余尿分别为（17.627±8.257）、（26.453±23.133）mL；观察组患者膀胱功能分级Ⅰ级57例、Ⅱ级3例，对照组患者膀胱功能分级Ⅰ级48例、Ⅱ级12例；观察组患者首次排尿时间、B超残余尿量均低于对照组患者，2组患者膀胱功能分级情况比较差异有统计学意义(P<0.05)。结论　妇科良性疾病术后留置尿管患者，拔管前夹闭尿管至患者有尿意时将尿管拔除的训练膀胱功能方法预防术后尿潴留的效果优于24 h即开始每3 h夹管1次训练膀胱功能的方法。
Abstract:
Objective　To investigate the preventive effect of two bladder function training methods against postsurgery urinary retention in benign gynecologic diseases.Methods　A total of 120 benign gynecologic disease patients who had urinary catheters in place for at least 48 hours were selected in the International Peace Maternity and Child Health Hospital Affiliated to Shanghai Jiao Tong University School of Medical from October 2013 to May 2015 and divided into observation group(n=60) and control group(n=60).In the observation group,the catheter was blocked by clip,then removed until the patient had the desire to urinate;in the control group,the catheter was clipped every 3 hours to rehabilitate bladder function,then the catheter was removed after 24 hours.The first urine-voiding time,the volume of residue urine under B-scan ultrasonography and the bladder function rehabilitation of patients between the two groups were compared.Results　The first urine-voiding time of patients in the observation group and control group was (6.067±2.761)min and (12.750±9.663)min respectively;the volumes of residue urine under B-scan ultrasonography were (17.627±8.257)mL and (26.453±23.133)mL respectively.There were 57 patients of grade Ⅰ of bladder function and 3 patients of grade Ⅱ of bladder function in the observation group;and 48 patients of grade Ⅰ of bladder function,12 patients of grade Ⅱof bladder function in the control group.There were statistic difference of the first urine-voiding time,the volumes of residue urine under B-scan ultrasonography and the bladder function classification of patients between the two groups(P<0.05).Conclusion　The method of clipping the catheter until the patients have the desire to urinate has better effect than the method of clipping the catheter every 3 hours in preventing urinary retention after operation in patients with benign gynecologic diseases.

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更新日期/Last Update: 2016-11-05