剖宫产产妇术后留置尿管拔管时间对降低尿道感染的影响  

Effect of Extubation Time of Indwelling Catheter after Cesarean Section on Reducing Urethral Infection

作　　者：陈丽丽 Chen Li-li(Kaiping Maternal and Child Health Hospital,Jiangmen 529300,Guangdong Province,China)

机构地区：[1]开平市妇幼保健院,广东江门529300

出　　处：《中外医药研究》2023年第2期54-56,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析剖宫产产妇术后留置尿管拔管时间对降低尿道感染的影响。方法:选取2021年4月—2022年10月开平市妇幼保健院收治的剖宫产产妇180例作为研究对象,根据随机数字法分为常规组和观察组,各90例。常规组术后24 h拔除尿管,观察组术后6~12 h内拔除尿管。观察两组产妇临床指标、自我效能和生活质量。结果:观察组产妇术后排气时间、自主排尿恢复时间、开始泌乳时间均短于常规组,24 h出血量少于常规组,尿路感染发生率低于常规组,术后72 h内泌乳量高于常规组,差异有统计学意义(P<0.05)。拔管后,两组产妇一般自我效能感量表(GSES)、生活质量综合评定问卷-74(GQOL-74)评分均高于拔管前,差异有统计学意义(P<0.05)。观察组GSES、GQOL-74评分高于常规组,差异有统计学意义(P<0.001)。结论:缩短剖宫产产妇的尿管留置时间对降低尿路感染的效果显著,可改善产妇各项临床指标,有效提高其自我效能和生活质量。Objective:To analyze the influence of extubation time of indwelling catheter on reducing urethral infection after cesarean section.Methods:One hundred and eighty women with cesarean section admitted to Kaiping Maternal and Child Health Hospital from April 2021 to October 2022 were selected as the research objects,and were divided into routine group and observation group according to random number method,with ninety cases in each group.The catheter was removed 24 h after operation in the routine group and 6 to 12 h after operation in the observation group.Clinical indicators,self-efficacy and quality of life were observed in the two groups.Results:The exhaust time,the recovery time of spontaneous urination and the start time of lactation in the observation group were all shorter than those in the routine group,and the blood loss in 24 h was less than that in the routine group.The incidence of urinary tract infection was lower than that of routine group,and the lactation volume within 72 h after operation was higher than that of routine group,with statistical significance(P<0.05).After extubation,the scores of general self-efficacy scale(GSES)and comprehensive assessment questionnaire of quality of life(GQOL-74)in the two groups were higher than those before extubation,with statistical significance(P<0.05).The GSES and GQOL-74 scores of the observation group were higher than those of the routine group,and the difference was statistically significant(P<0.001).Conclusion:Shortening the indwelling time of urethral tube can significantly reduce urinary tract infection,improve the clinical indicators,and effectively improve the self-efficacy and quality of life.

关 键 词：剖宫产 留置尿管 拔管时间 尿道感染 自我效能 生活质量 

分 类 号：R47[医药卫生—护理学]