摘要
目的探讨剖宫产术后应用硬膜外自控镇痛术适宜的拔除导尿管时机。方法将142例剖宫产术后采用硬膜外自控镇痛术的产妇，术后留置尿管开放12h后夹闭，在膀胱充盈有尿意时间断放尿12h，实验组71例：保留膀胱余尿拔除导尿管。对照组71例：放尽膀胱尿液拔除导尿管。比较两组拔管后第一次排尿时间、尿潴留的发生率。结果两组拔管后第一次排尿时间经t检验差异有统计学意义（P＜0.01），尿潴留的发生率经χ2检验差异有统计学意义（P＜0.05），实验组自主排尿时间早，尿潴留发生率低。结论剖宫产术后硬膜外自控镇痛术可在术后24h留有膀胱余尿拔除尿管，减少尿潴留，降低泌尿系感染发生率。
Objective To explore the the time of pulling out urine of puerperant with self-cantrol epidural analgesia after cesarean section. Methods A total of 142 puerperant with self-control epidural analgesia after cesarean section were divided into experiment group and control group （ with 71 cases respectively）. All were carried out with indwelling catheter, which were closed after 12 hours of post-operation. All the subjects were parngjioed interruptly lasting 12 hours when they desired to urinater. In former group, the residual urine were kept after the urine were pulled out, while in latter group, the residual urine were no remained. Comparsions were carried between groups in terms of the first time urination , urinary retention. Results The first time urination in experiment was earlier, the difference between groups showed significant using t test （P 〈0. 01 ）. The incidence of urinary retention in experiment group was lower, there was significant difference using chi-square test. Condusions The time of pulling out of the urine for puerperant with selfcontrol epidural analgesia after cesarean section, should be occurred 24 hour post- operation when the residual urine were remained, which is helpful to reduce the incidence of urinary retention and recurrent urinary tract infections.
出处
《中华现代护理杂志》
2010年第3期288-289,共2页
Chinese Journal of Modern Nursing
关键词
剖宫产术
尿潴留
术后镇痛
Cesarean Section
Urinary retention
Postoperative analgesia
