术前排尿训练对肛肠病术后患者排尿功能恢复的影响  

Effect of Preoperative Voiding Training on The Postoperative Rehabilitation of Urinating Function of Patients with Anorectal Diseases

作　　者：冯银平[1] 

机构地区：[1]河南省鹤壁煤业集团公司总医院,458000

出　　处：《职业与健康》2009年第11期1222-1223,共2页Occupation and Health

摘　　要：目的探讨肛门直肠病术前进行排尿训练对预防和减少术后排尿困难及尿潴留的效果。方法将120例肛肠科择期手术患者随机分为实验组和对照组,每组各60例。对照组按常规行术前准备及护理;试验组在常规护理的基础上,于术前二三天开始进行排尿训练。结果试验组患者术后排尿顺利和辅助后顺利例数多于对照组,差异具有统计学意义(P<0.01)。试验组患者术后第1次排尿时间为2.5～3.2h,对照组第1次排尿时间为3.2～4.5h。对照组超过4.5h未排尿者血压与基础压比较,收缩压明显升高。结论术前对患者进行排尿训练可预防和减少术后排尿困难及尿潴留的发生。[ Objective ] To investigate the effect of preoperative voiding training on prevention and reduction of dysuria and urinary retention after anorectal surgery. [ Methods ] A total of 120 patients scheduled for anorectal surgery were randomly divided into exper imental group（60 cases） and control group（60 cases ）. The control group was treated with routinely preoperative preparation and nursing care ; the experimental group received voiding training 2 or 3 days before operation on the basis of routine nursing. [ Resuits]The number of smooth postoperative voiding and assisted smooth postoperative voiding in experimental group was more than control group, the difference was significant （ P 〈 0. 01 ）. First urination of experimental group patients was 2.5 - 3.2 hours, that of control group was 3.2 - 4.5 hours. The systolic blood pressure of control group patients who did not urinate for over 4.5 hours was significantly increased. [ Conclusion] Preoperative voiding training can prevent and reduce the occurrence of postoperative dysuria and urinary retention.

关 键 词：排尿训练 排尿困难 肛门直肠手术 护理 

分 类 号：R657.1[医药卫生—外科学]