剖宫产术后拔除尿管方法的改良研究  

A Study on improvement of catheter removal after cesarean section

作　　者：梁永[1] 胡小萍[1] 张娟[1] 

机构地区：[1]解放军第161医院妇产科,湖北武汉430010

出　　处：《四川医学》2010年第3期351-353,共3页Sichuan Medical Journal

摘　　要：目的改良剖宫产术后放尿方法并研究其对患者的影响。方法选取150例剖宫产术后留置尿管的产妇随机分为实验组8 0例,对照组70例。分别观察两组患者拔除尿管后第1次排尿情况。结果采用改良方法拔除尿管的实验组首次排尿量多于采用传统方法的对照组(t=12.99,P<0.01),实验组首次自然排尿成功率98.7%,明显高于对照组的71.4%,其拔除尿管时间也明显早于对照组,其差异具有统计学意义;两组尿路感染发生率分别为实验组5%,对照组25.7%,差异具有统计学意义。结论剖宫产术后采用改良方法,早期定时开放尿管、于膀胱充盈且有输液余量时拔出尿管,对于改善产妇膀胱功能,促进术后恢复具有积极的临床意义。Objective To investigate the influence of improvement of removing catheter on postcesarean patients.Methods All 150 patients after cesarean section were randomized into two groups： test group and control group.Observe and compare the first urination of each group after removing catheter.Results The first urine amount of test group was more than that of control group.The efficiency of test group was 98.7%which was obviously higher than another group.The time of removing catheter in test group was sooner than another.The incidence of urinary infection of test group was 5% and was obviously less than control group（25.7%）. Conclusion The improved pattern is useful to remove catheter earlier and improve bladder function.So its clinical application has a positive significance in patients recover.

关 键 词：剖宫产:放尿方法 膀胱功能 

分 类 号：R719.8[医药卫生—妇产科学]