Crede手法及清洁间歇导尿对宫颈癌术后尿潴留患者自主排尿功能恢复的影响  

Effect of Credé’s method and clean intermittent catheterization instructions on recovery of function of autonomous micturition in patients with urinary retention after trachelectomy

作　　者：张莉莉 全玮琳 ZHANG Li-li;QUAN Wei-lin(Department of Obstetrics and Gynecology,Shanghai Tenth People’s Hospital Affiliated to Tongji University,Shanghai 200072,China)

机构地区：[1]上海市同济大学附属第十人民医院妇产科,上海200072

出　　处：《中国肿瘤临床与康复》2021年第6期737-740,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨Crede手法联合清洁间歇导尿手册对宫颈癌术后尿潴留患者自主排尿功能恢复的影响。方法选取2017年4月至2020年4月间上海市同济大学附属第十人民医院收治的106例宫颈癌根治术后尿潴留患者作为研究对象,采用单双数标记法随机分为对照组和观察组,每组53例。对照组患者采用常规留置导尿法进行控尿,观察组采用Crede手法联合清洁间歇导尿手册进行控尿训练。分析两组患者各项尿动力学指标,并对比两组患者的泌尿系感染发生率和膀胱功能恢复情况。结果术后14d,观察组患者的膀胱初感容量、膀胱最大容量、膀胱顺应性和最大尿流率等尿动力学指标水平均优于对照组,差异有统计学意义(P<0.05)。术后7d和术后14d,两组患者泌尿系统感染率均上升,且对照组患者感染率高于观察组,差异有统计学意义(P<0.05)。术后14d,观察组膀胱功能恢复情况较好19例(35.9%),多于对照组的8例(15.1%),差异有统计学意义(P<0.05)。结论采用Crede手法联合清洁间歇导尿手册护理方法可以有效改善宫颈癌术后尿潴留患者尿动力学指标,降低控尿功能训练过程中的泌尿系统感染率,提高患者自主排尿功能恢复质量。Objective To explore the effect of Credé’s method combined with clean intermittent urinary catheterization instructions on the recovery of function of autonomous micturition in patients with urinary retention after trachelectomy. Methods A total of 106 patients with urinary retention after radical resection for cervical cancer who were admitted to Shanghai Tenth People’s Hospital Affiliated to Tongji University from April 2017 to April 2020 were selected. They were randomly divided into an observation group and a control group with 53 patients each using odd and even number markers. The observation group used the Crede technique combined with the clean intermittent catheterization manual for urinary control training and the control group was given conventional indwelling catheterization for urinary control. The urodynamic indexes were analyzed,and the incidence of urinary tract infection and the recovery of bladder function were compared between the two groups. Results At 14 d after the operation,urodynamic indexes such as initial bladder volume,bladder maximum volume,bladder compliance,and maximum urinary flow rate were significantly better in the observation group than in the control group( all P<0.05). At 7 d and 14 d after the operation,the urinary system infection rate increased in both groups with the infection rate significantly higher in the control group than in the observation group( all P<0.05). At 14 d after the operation,better bladder function recovery was achieved in 19 patients( 35. 9%) in the observation group,which was significantly more than 8 patients( 15. 1%) in the control group( P<0.05). Conclusion The use of Credé’s method combined with clean intermittent urinary catheterization instructions can effectively improve the urodynamic indexes,reduce the urinary system infection rate during urinary control training,and improve quality of voluntary urination function recovery in patients with urinary retention after cervical cancer surgery.

关 键 词：宫颈癌根治术 尿潴留 Crede手法 清洁间歇导尿手册 自主排尿功能 

分 类 号：R737.32[医药卫生—肿瘤]