尿管拔除时间对盆底功能障碍性疾病术后尿潴留影响的Meta分析  

Meta analysis on the influence of catheter removal time on urinary retention after surgery for pelvic floor dysfunction

作　　者：李晓丹[1] 梁熠 龚晶晶[1] 郭金玉[2] 王建六[1] Li Xiaodan;Liang Yi;Gong Jingjing(Department of Obstetrics and Gynecology,Peking University People's Hospital,Beijing 100044;School of Nursing Peking University,Beijing 100191)

机构地区：[1]北京大学人民医院妇产科,北京100044 [2]北京大学人民医院急诊科,北京100044 [3]北京大学护理学院,北京100191

出　　处：《现代妇产科进展》2020年第8期584-587,592,共5页Progress in Obstetrics and Gynecology

摘　　要：目的:系统评价尿管拔除时间对女性盆底功能障碍性疾病(FPFD)术后尿潴留的影响。方法:计算机检索PubMed、EMBASE、Cochrane Library、中国期刊全文数据库、中国生物医学文献数据库、万方数据库中,有关FPFD术后拔除尿管时间对术后尿潴留影响的随机对照试验,由2名研究者独立对获得文献进行筛查、质量评价和资料提取,采用Revman 5.3软件进行Meta分析。结果:最终纳入8篇随机对照试验,共938例患者。术后6h以内与6~24h拔除尿管组比较,尿潴留(OR=2.52,95%CI为0.84~7.54,P=0.10)及尿路感染(OR=0.93,95%CI 0.57~1.51,P=0.76)差异均无统计学意义;术后6~24h与24h以上拔除尿管组比较,尿潴留差异无统计学意义(OR=2.29,95%CI为0.89~5.86,P=0.09),尿路感染差异有统计学意义(OR=0.24,95%CI为0.06~0.89,P=0.03)。结论:盆底手术可适当延长保留尿管至术后24h,可减少术后尿潴留的风险,不增加尿路感染的发生风险。Objective:Systematic evaluation of the impact of urinary catheter removal time on urinary retention of women with pelvic floor dysfunction(FPFD).Method:A computer-based research was conducted for PubMed,EMBASE,Cochrane Library,China Academic Journals Full-text Database(CJFD),China Bio-Medicine database(CBM)and Wanfang for the randomized controlled trial with respect to the influence of catheter removal time on urinary retention after surgery for FPFD.Two researchers were invited for independent document screening,quality evaluation and data extraction for the literatures obtained.A Meta analysis was made with the software of Revman 5.3.Result:Finally included 8 randomized controlled trials,a total of 938 patients.Comparing the incidence of urinary retention and urinary tract infection after urinary catheter removal within 6 hours and 6~24 hours after operation,there was no statistically significant difference in urinary retention(OR=2.52,95%CI 0.84~7.54,P=0.10)and urinary tract infection(OR=0.93,95%CI 0.57~1.51,P=0.76).Compare the incidence of urinary retention and urinary tract infection after urinary catheter removal 6~24 hours after operation and 24 hours after operation,there was no significant difference in urinary retention(OR=2.29,95%CI 0.89~5.86,P=0.09),and there was significant difference in urinary tract infection(OR=0.24,95%CI 0.06~0.89,P=0.03).Conclusion:It is recommended to keep the urinary catheter for 24 hours for pelvic floor surgery,which can not only reduce the risk of postoperative urinary retention,but also prevent the occurrence of urinary tract infections.

关 键 词：尿管 盆底疾病 尿潴留 META分析 

分 类 号：R711.1[医药卫生—妇产科学]