腹部手术留置尿管时间的选择  

Time chosen for catheterization on abdominal operation patients

作　　者：杨健[1] 刘世呈[1] 吴淼[1] 

机构地区：[1]宜宾市第二人民医院,四川宜宾644000

出　　处：《四川医学》2011年第5期702-703,共2页Sichuan Medical Journal

摘　　要：目的探讨腹部手术围手术期留置尿管的时间。方法纳入符合入选标准80例全麻下行腹部手术的患者,行术前麻醉后置放尿管,术后麻醉复苏前拔除尿管。术后观察尿潴留及膀胱刺激症状。结果 80例术后患者75例均能自行排尿,仅5例再次置放尿管。=3.3,P>0.05,差异没有统计学意义。术后1d,发生膀胱刺激症状5例,与术前比较=72.05,P<0.01,v=1,二者差异有统计学意义;术后3d,发生膀胱刺激症状2例,与术前比较=0.01,P>0.05,v=1,二者差异没有统计学意义。术后7d,发生膀胱刺激症状1例,与术前比较=0.01,P>0.05,二者没有统计学意义。结论全麻腹部手术,术前麻醉后置放尿管、术后麻醉复苏前拔除尿管,不会导致排尿困难,能减少膀胱刺激症状。Objective To probe into the optimal time of indwelling catheter during perioperative period on abdominal operation.Methods Eighty patients of general anaesthesia undergoing abdominal operation were enrolled in this study.Indwelling catheter was placed after anesthesia and removing foley before anesthesia reanimation.The patients were observed for the uroschesis and bladder irritation.Results 75 of 80 case can micturate successfully by self-help after 7 days.X2=3.3,P0.05,5case occurred bladder irritation symptoms 1 day after surgery,X2=72.05,P0.01,v =1.2 case occurred bladder irritation symp-toms 3 day after surgery,X2=0.01,P0.05,v =1.1 case occurred bladder irritation symptoms 3 day after surgery,X2=0.01,P0.05.Conclusion To patients of abdominal operation,indwelling catheter after anesthesia and removing foley before anesthesia reanimation don t result in urination difficulties,on the contrary,which can reduce the rate of bladder irritation.

关 键 词：腹部手术 全麻 排尿困难 膀胱刺激症状 

分 类 号：R473.6[医药卫生—护理学]