妇科腹式全子宫切除术后患者留置镇痛泵发生尿潴留的临床探析  

The Clinical Study of Urine Retention in Postoperative Abdominal Hysterectomy Patients With Epidural Analgesia

作　　者：王延梅[1] 

机构地区：[1]郑州大学第三附属医院妇科一病区,455000

出　　处：《中国卫生标准管理》2015年第17期175-176,共2页China Health Standard Management

摘　　要：目的：探究妇科腹式全子宫切除术后患者留置镇痛泵发生尿潴留的情况。方法随机选取我院在2013年2月～2014年2月期间接收的120例妇科腹式全子宫切除术后患者留置镇痛泵，将这些患者随机的分为实验组和对照组，对照组60例患者在术后48 h候将导尿管以及镇痛泵全部拔除，实验组60例患者在术后43 h后将镇痛泵摘除，在48 h后将导尿管拔除，对两组患者的尿潴留情况进行比较分析。结果在拔除导尿管5 h后可以自行小便方面，实验组优于对照组，同时在护理后重新留置导尿管方面，实验组小于对照组。结论对于妇科腹式全子宫切除术后患者在拔除镇痛泵5 h以后再拔去导尿管可有效地减少尿潴留的发生。ObjectiveTo explore the gynecological abdominal hysterectomy postoperative indweling urinary retention in case of analgesia.MethodsSelected the hospital from February 2013 to February 2014 period received 120 cases of gynecological abdominal hysterectomy patients indweling analgesia,these patients were randomly divided into experimental and control groups,the control group 60 patients at 48 h after waiting the ful removal of the catheter and analgesia,the experimental group of 60 patients at 43 h after analgesia pump removed,at 48 h after catheter removal,the two groups urinary retention condition of the patient were compared.Results After removal of the catheter 5 hours to urinate on their own terms,the experimental group was significantly better than the control group,while in the care re indweling catheter aspect,the experimental group was significantly lower than the control group.ConclusionGynecological abdominal hysterectomy patients plucking analgesia 5 h later puling the catheter can effectively reduce the incidence of urinary retention.

关 键 词：腹式全子宫切除术后 留置镇痛泵 发生尿潴留 临床探析 

分 类 号：R614[医药卫生—麻醉学]