宫颈癌患者根治手术后尿潴留的预防效果分析  

Prevention effect analysis of urinary retention after radical hysterectomy

作　　者：宋家莲 刘春梅[1] 

机构地区：[1]四川省泸州市人民医院,泸州646000

出　　处：《中国肿瘤临床与康复》2014年第8期1020-1022,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨宫颈癌根治术后尿潴留的预防措施及其效果。方法选取2011年1月至2013年12月间收治的行宫颈癌根治术的患者168例,随机分为观察组和对照组,每组84例。观察组患者接受系统护理干预,对照组患者接受常规治疗和护理,比较两组患者的尿潴留预防效果。结果观察组患者术后尿管留置时间和残余尿量均明显少于对照组,差异有统计学意义(P<0.05)。观察组患者术后尿潴留发生率为4.8%,对照组患者术后尿潴留发生率为23.8%,差异有统计学意义(P<0.05)。结论对宫颈癌根治术后患者实施系统护理干预配合膀胱冲洗等治疗性护理措施,可有效预防术后尿潴留的发生,明显改善患者术后生活质量,值得在临床推广应用。Objective To investigate the preventive effect of urinary retention after radical hysterectomy. Methods From January 2011 to December 2013,168 patients underwent radical operation of cervical cancer were enrolled into this study. All these patients were randomly divided into observation group and control group, each group had 84 patients. Patients in the observation group received systematic nursing intervention, patients in the control group received routine treatment and nursing. Preventive effect of urinary retention was compared between these two groups. Results Postoperative urinary tube indwelling time and residual urine volume in the observation group were less than that in the control group, the difference were significant （ P 〈 0.05 ）. The incidence of urinary retention in the observation group and control group were 4. 8% and 23.8%, respectively. The incidence of urinary retention in the observation group was lower than that in the control group, the difference was significant （P 〈 0. 05 ）. Conclusion System nursing intervention therapy combined with bladder irrigation in patients after radical hysterectomy can effectively prevent the occurrence of urinary retention, significantly improve patients＇ quality of life after operation. It is worthy to be popularized and applied in clinical practice.

关 键 词：宫颈肿瘤 外科手术 根治性 尿潴留 预防 

分 类 号：R737.33[医药卫生—肿瘤]