术前量化排尿训练对预防腰椎术后尿潴留的效果观察  

The effects of preoperative quantization urination training in preventing the incidence of postoperative urinary retention after lumbar spine surgery

作　　者：刘美荣[1] 李宝丽[1] 王秋玲[1] 赵伟[1] 张为[1] LIU Meirong;LI Baoli;WANG Qiuling(Department of Spinal Column Surgery,The Third Hospital of Hebei Medical University,Hebei, Shijiazhuang 050051,China)

机构地区：[1]河北医科大学第三医院脊柱外科

出　　处：《河北医药》2020年第3期478-480,共3页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题计划(编号:20140288)

摘　　要：目的通过对腰椎术后患者进行术前排尿量化训练,提高了患者术前排尿训练的依从性,降低了患者术后尿潴留的发生率。方法选择2018年7~12月住院的腰椎退行性疾病患者178例,用信封法随机分为对照组和试验组,其中对照组采用传统健康教育方式,试验组建立量化训练记录卡,采用量化训练方式。结果试验组尿潴留发生率明显低于对照组,差异有统计学意义(P<0.05)。2组患者术后第1次排尿前后收缩压差值差异有统计学意义(P<0.05),试验组收缩压平均差值明显低于对照组(P<0.05),舒张压差值比较差异无统计学意义(P>0.05)。结论对腰椎手术患者采取术前量化排尿训练,提高了患者排尿训练的依从性,有效降低了术后尿潴留的发生率,从而降低因留置导尿导致的医院感染率,值得推广应用。Objective To investigate the effects of preoperative quantization urination training in preventing the incidence of postoperative urinary retention after lumbar spine surgery.Methods A total of 178 patients with lumbar degenerative diseases who were hospitalized and treated in our hospital from July 2018 to December 2018 were enrolled in the study,who were randomly divided into control group and experimental group according to envelope method.The patients in control group received traditional health education method,and the patients in experimental group received quantitative training method.Results The incidence rate of urinary retention in experimental group was significantly lower than that in control group(P<0.05).There was a significant difference in the difference of systolic blood pressure before and after the first urination between the two groups(P<0.05),and the mean difference of systolic blood pressure in experimental group was significantly lower than that in control group(P<0.05).However there was no significant difference in the difference of diastolic blood pressure between the two groups(P>0.05).Conclusion The quantitative urination training before lumbar surgery can improve the compliance of patients with urination training,which can effectively reduce the incidence of postoperative urinary retention,thereby,reduce the hospital infection rate caused by indwelling catheter,thus,it is worthy of clinical application and promotion.

关 键 词：量化排尿训练 腰椎术后 尿潴留 

分 类 号：R473.6[医药卫生—护理学]