不同时机拔除尿管对经尿道前列腺电切术老年患者术后恢复情况的影响  

Effect of different timing of urinary catheter removal on postoperative recovery in elderly patients undergoing transurethral resection of prostate

作　　者：邢季伟 张旭东[1] 田丽[2] 张珊珊[2] 安学伟 王敏洁 Xing Jiwei;Zhang Xudong;Tian Li;Zhang Shanshan;An Xuewei;Wang Minjie(Outpatient Treatment Room,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China;Medical Insurance Surgery,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院门诊治疗室,北京100050 [2]首都医科大学附属北京友谊医院医保外科,北京100050

出　　处：《中华现代护理杂志》2023年第22期3043-3047,共5页Chinese Journal of Modern Nursing

基　　金：北京友谊医院2018年科研启动基金护理专项课题(yyqdkt2018-hl16)。

摘　　要：目的探讨不同时机拔除尿管对经尿道前列腺电切术(TURP)老年患者术后恢复情况的影响。方法采用便利抽样法,选取2021年3月—2022年6月首都医科大学附属北京友谊医院的159例TURP老年患者为研究对象,采用随机数字表法将患者分为术后48 h内拔除尿管组(n=47)、术后48~72 h拔除尿管组(n=55)和术后>72 h拔除尿管组(n=57)。比较三组尿管拔除后的排尿困难程度、尿路感染发生率、二次尿管置管率和术后住院时间。结果术后48~72 h拔除尿管组中度及以上排尿困难患者比例低于术后48 h内拔除尿管组和术后>72 h拔除尿管组,差异有统计学意义(P<0.05)。术后48 h内拔除尿管组和术后48~72 h拔除尿管组的尿路感染发生率低于术后>72 h拔除尿管组,差异有统计学意义(P<0.05)。术后48~72 h拔除尿管组和术后>72 h拔除尿管组的二次尿管置管率低于术后48 h内拔除尿管组,差异有统计学意义(P<0.05)。术后48~72 h拔除尿管组的术后住院时间短于术后48 h内拔除尿管组和术后>72 h拔除尿管组,差异有统计学意义(P<0.05)。结论术后48~72 h拔除尿管可以有效减轻TURP老年患者尿管拔除后的排尿困难程度,降低尿路感染发生率和二次置管率,缩短术后住院时间。ObjectiveTo investigate the effect of different timing of urinary catheter removal on postoperative recovery of elderly patients undergoing transurethral resection of prostate(TURP).MethodsA total of 159 elderly patients undergoing TURP from Beijing Friendship Hospital Affiliated to Capital Medical University from March 2021 to June 2022 were selected as research objects by convenience sampling method,and were divided into the urinary catheter removal within 48 h after surgery group(n=47),urinary catheter removal within 48 to 72 h after surgery group,urinary catheter removal>72 h after surgery group.The degree of dysuria after catheter removal,incidence of urinary tract infection,secondary catheter insertion rate and postoperative hospital stay were compared among the three groups.ResultsThe proportion of patients with moderate or above dysuria of the urinary catheter removal within 48 to 72 h after surgery group was lower than those of the urinary catheter removal within 48 h after surgery group and the urinary catheter removal>72 h after surgery group,and the differences were statistically significant(P<0.05).The incidence of urinary tract infection of the urinary catheter removal within 48 h after surgery group and the urinary catheter removal within 48 to 72 h after surgery group were lower than that of the urinary catheter removal>72 h after surgery group,and the differences were statistically significant(P<0.05).The rate of secondary catheterization of the urinary catheter removal within 48 to 72 h after surgery group and the urinary catheter removal>72 h after surgery group were lower than that of the urinary catheter removal within 48 h after surgery group,and the differences were statistically significant(P<0.05).The postoperative hospital stay of the curinary catheter removal within 48 to 72 h after surgery group was shorter than those of the urinary catheter removal within 48 h after surgery group and the urinary catheter removal>72 h after surgery group,and the differences were statistically significa

关 键 词：前列腺增生 老年人 经尿道前列腺电切术 尿管拔除时机 

分 类 号：R473.6[医药卫生—护理学]