宫颈癌患者术后膀胱功能恢复的临床实验研究  

Study on bladder recuperative time of patients with uterine cervix cancer after hysterectomia

作　　者：王晶[1] 牛娜[1] 陶晨[1] 孙海丽[1] 

机构地区：[1]解放军总医院妇科,北京100853

出　　处：《现代护理》2006年第1期60-61,共2页Modern Nursing

摘　　要：目的探讨宫颈癌患者术后膀胱功能恢复时间。方法对55例宫颈癌术后患者分别于拔除尿管后8～10h、24～26h、32～34h进行残余尿测定，比较不同时间的残余尿，研究宫颈癌患者术后膀胱功能恢复的时间。结果拔除尿管后在3个不同时间测定残余尿，8～10h测定合格率最低（P〈0．01），只有44．44％；拔除尿管后出现排尿异常的情况较多（P〈0．01）。24～26h厦32～34h测定合格率分别为83．33％和80．47％，拔除尿管后出现排尿异常的情况较少（P〈0．01），但2组之间无统计学差异。50岁以上患者比50岁以下患者的残余尿与测定时问的相关性更大（P〈0．01）。结论对于宫颈癌术后患者，拔除尿管后24～26h测定残余尿效果较好。50岁以上患者测定时间应适当延长。Objective To explore the bladder recuperative time of patients with uterine cervix cancer after hysterectomia. Methods The volume of residual urine was measured at 8～ 10h, 24～ 26h and 32～34h on 55 patients with uterine cervix cancer after hysterectomia when their urinary canal had been exelcymosised. The ideal bladder recuperative time was observed by comparing residual urine vol- ume at various time. Results The qualification rates of residual urine measurement at 3 various time after urinary canal exelcymosising were different： it was lowest at 8～10 h （P 〈 0.01）, only is 44. 44% and the occurring rate of paruria was higher （P 〈 0. 01） ; it was 83.33%, at 24～26h and 89. 47% at 32%34 h,while their occurring rate of paruria were lower; however, there was no significance difference between the later two groups. The correlation between residual urine volume and measurement time in patients above 50 years old more was more significant than that in patients no more than 50 years old （P 〈 0.01）. Conclusions In patients with uterine cervix cancer after hystereetomia, the effect of residual urine measurement is good at 24 ～ 26 h after urinary canal exeleymosising. Time of residual urine measurement of patients above 50 years old should be prolonged appropriately.

关 键 词：宫颈癌 膀胱 残余尿测定 临床实验 

分 类 号：R473.73[医药卫生—护理学]