妇科腹腔镜手术后不同拔除尿管时机的效果比较  

Two Different Moments to Remove the Catheter after Gynecological Laparoscopy Surgery

作　　者：王桂英[1] 邱彩凤[1] 黄玉梅[1] 

机构地区：[1]广东省佛山市第一人民医院妇产科,佛山市528000

出　　处：《当代护士（中旬刊）》2010年第2期39-40,共2页Modern Nurse

摘　　要：目的比较妇科腹腔镜手术后2种拔除尿管时机的临床效果。方法将行妇科腹腔镜手术后的227例病人随机分为实验组与对照组。实验组114例,于手术清醒后6h拔除尿管;对照组113例,于手术清醒后12h拔除尿管。比较2组病人的拔除尿管后自行排尿情况、第1次排尿时间、泌尿系统感染情况等。结果实验组第1次排尿时间短于对照组(p<0.01),2组病人在自行排尿成功率和泌尿系统感染率方面的差别没有统计学意义(p均>0.05)。结论手术清醒后6h拔除尿管是可行的,在缩短术后第1次排尿时间方面甚至优于在病人手术清醒后12h拔除尿管,有利于病人康复。Objective：To compare the effects of the two different moments to remove the catheter after gynecological laparoscopy surgery. Methods：227 patients who were treated by the gynecological laparoscopy surgery were randomly divided into two groups,the intervention group （n1=114） and the control group （n2=113）.The catheters of the intervention group were removed 6 hours after the operation, while the catheters of the control group were not removed until 12 hours after the operation.The effects of voluntarymicturition,when was the first urination after the surgery,urinary system infection rates were compared between the two groups.Results： The first urination of the intervention group was earlier than the control group （p〈0.05）.There was no difference between the two groups on the effects of voluntarymicturition and the urinary system infection rate （p〉0.05）.Conclusion：The removal of catheter 6 hours after operation was feasible,which was even better on shortening the duration of the first urination after gynecological laparoscopy surgery.

关 键 词：妇科 腹腔镜手术 拔除尿管 时间 

分 类 号：R473.71[医药卫生—护理学]