宫颈癌根治术后拔除留置尿管时机的研究  

Research on the removal time of indwelling catheter of patients after radical operation of cervical cancer

作　　者：王冬军[1] 

机构地区：[1]北京协和医院妇产科,北京市100730

出　　处：《护理管理杂志》2011年第12期905-906,共2页Journal of Nursing Administration

摘　　要：目的探讨宫颈癌根治术后拔除留置尿管的最佳时机,减少术后尿潴留的发生。方法将70例宫颈癌根治术后留置尿管患者分为实验组和观察组各35例,实验组在膀胱充盈时拔除尿管,对照组在膀胱空虚时拔除尿管。比较两组患者第1次排尿后膀胱残余尿量及膀胱功能。结果实验组患者残余尿量少于对照组,膀胱功能优于对照组,差异具有统计学意义(P<0.01或P<0.05)。结论膀胱充盈时拔除尿管是最佳时机,护士应掌握有效护理手段,减少术后尿潴留的发生。Objective To explore the best removal time of indwelling catheter of patients after radical operation of cervical cancer so as to reduce the incidence of postoperative urinary retention. Methods A total of 70 patients with indwelling catheter were recruited and divided into the experimental group and the control group randomly, each with 35 cases. The indwelling catheter was removed when bladder was filling with urine in the experimental group, and removed when bladder was empty in the control group. The patients＇residual urine volume after first post - voiding and bladder function was compared between two groups. Results The residual urine volume and the bladder function in the experimental group was significantly better than the control group, and the difference was statistically significant （P 〈 0.01 or P 〈 0.05 ）. Conclusion The best time to remove the indwelling catheter is when bladder is filling with urine. Nurses should master effective means to reduce the incidence of postoperative urinary retention.

关 键 词：宫颈癌 术后护理 拔除尿管 残余尿量 

分 类 号：C931[经济管理—管理学]