探讨硬膜联合下剖宫产术患者导尿管拔出后对尿潴留的处理分析  

To Investigate the Treatment of Urinary Retention After Catheter Extraction in Patients Undergoing Cesarean Section Under Dural Combined Surgery

作　　者：曾暖诗 衣秀苇[1] ZENG Nuanshi;YI Xiuwei(Dongguan Maternal and Child Health Hospital,Dongguan,Guangdong 523700,China)

机构地区：[1]东莞市妇幼保健院,广东东莞523700

出　　处：《大医生》2019年第9期30-31,33,共3页Doctor

摘　　要：目的分析硬膜下联合剖宫产术患者导尿管拔出后对尿潴留的处理分析。方法选取2017年7月至2019年3月东莞市妇幼保健院收治的硬膜下联合剖宫产术导尿拔出后尿潴留61例患者,按随机数字表法分为观察组(28例)与对照组(33例),对照组施以新斯的明治疗,观察组施以新斯的明+低频电刺激治疗,就两组患者治疗效果进行比较。结果观察组患者治疗总有效率高于对照组,拔管到排尿时间以及住院时间短于对照组,疼痛程度低于对照组,差异有统计学意义(P<0.05)。结论新斯的明联合低频电刺激治疗,可有效提升硬膜下联合剖宫产术导尿拔出后尿潴留患者的治疗效果,缩短拔管后自行排尿的时间以及住院时间。Objective To analyze the treatment of urinary retention after catheterization in patients undergoing subdural combined cesarean section.Methods From July 2017 to March 2019,61 patients with urinary retention after subdural combined cesarean section admitted to the Dongguan Maternal and Child Health Hospital were randomly divided into observation groups(28 cases).Compared with the control group(33 cases),the control group was treated with neostigmine,and the observation group was treated with neostigmine+low frequency electrical stimulation,and the treatment effects of the two groups were compared.Results The total effective rate of the observation group was higher than that of the control group.The time from extubation to urination and hospitalization was shorter than that in the control group.The urinary tract infection and pain were lower than the control group,and the difference was statistically significant(P<0.05).Conclusion Neostigmine combined with low-frequency electrical stimulation can effectively improve the treatment effect of patients with urinary retention after subdural combined cesarean section,and shorten the time of urinary excretion and hospitalization time after extubation.

关 键 词：尿潴留 剖宫产 新斯的明 低频电刺激 

分 类 号：R47[医药卫生—护理学]