盆腔器官脱垂患者术后24h拔除导尿管的安全性和有效性研究  

Safety and effectiveness of postoperative 24 hours urinary catheter removal in patients with pelvic organ prolapse

作　　者：梁熠 李娟[1] 白莲花 李晓丹[1] 孙秀丽[1] 杨欣[1] 王建六[1] Liang Yi;Li Juan;Bai Lianhua(Department of Obstetrics and Gynecology,Peking University People's Hospital,Beijing 100044)

机构地区：[1]北京大学人民医院妇产科,北京100044

出　　处：《现代妇产科进展》2021年第10期765-768,775,共5页Progress in Obstetrics and Gynecology

摘　　要：目的:通过比较盆腔器官脱垂(POP)患者术后24h与常规72h拔除导尿管的尿潴留与尿路感染发生率,探讨POP患者术后24h拔除导尿管的安全性和有效性。方法:选取2020年6月至12月在北京市某三甲医院行手术治疗的132例POP患者,随机分为试验组(65例,术后24h拔除导尿管)和对照组(67例,术后72h拔除导尿管)。收集并比较两组患者的尿潴留、尿路感染、术后下床活动时间、住院时间等指标。结果:试验组和对照组患者的尿潴留发生率[11(16.9%)vs 10(14.9%)]、重置尿管发生率[8(12.3%)vs 8(11.9%)]和导管相关性尿路感染发生率[3(4.5%)vs 7(10.8%)]比较,差异均无统计学意义(P>0.05)。试验组患者的不适症状较少,术后首次下床活动时间、住院天数较短,差异均有统计学意义(P<0.05)。结论:POP患者术后24h拔除导尿管并不增加尿潴留发生风险,且有助于提高患者舒适度,促进早期下床活动,缩短住院天数。Objective:To compare the rate of urinary retention and urinary tract infection after indwelling catheterization for 24 hours and 72 hours following surgery among patients with pelvic organ prolapse,and so as to explore the safety and effectiveness of removal of urinary catheter 24 hours after prolapse surgery.Methods:A randomized clinical trial was conducted to recruit 132 patients with pelvic organ prolapse who were scheduled to receive surgical treatment in a gynecological ward of a third-grade A hospital in Beijing from June to December 2020.Patients were randomly divided into two groups:the study group(n=65,the catheter was removed 24 hours after surgery)and the control group(n=67,the catheter was removed 72 hours after surgery).Outcomes such as urinary retention,urinary tract infection,postoperative time to out of bed and length of hospital stay,were collected.Results:There were no significant differences in the rate of urinary retention[11(16.9%)vs 10(14.9%)],re-catheterization[8(12.3%)vs 8(11.9%)]and catheter-related urinary tract infections[3(4.5%)vs 7(10.8%)](P<0.05)between the study group and the control group(P<0.05).And patients in the study group had fewer discomfort symptoms,shorter time to postoperative out of bed and shorter length of hospital stay(P<0.05).Conclusions:It is safe and recommended to remove the indwelling urinary catheter 24 hours after surgery among patients with pelvic organ prolapse.And it can improve the patients'comfort level,promote early getting out of bed and shorten the length of hospital stay.

关 键 词：盆腔器官脱垂 术后 留置导尿管 拔除时间 尿潴留 

分 类 号：R712.2[医药卫生—妇产科学]