摘要
目的探讨改良留置导尿方法在麻醉后剖宫产手术患者的临床应用效果。方法将剖宫产择期手术患者140例,按照手术日分为观察组与对照组,各70例。对照组麻醉后按《临床护理技术规范》基础篇第二版导尿术进行操作,观察组麻醉后使用改良留置导尿方法。记录两组导尿操作时间、消毒后会阴部菌落数和尿液检测的无症状菌尿阳性率、血尿发生率。结果观察组导尿操作时间、消毒后会阴部菌落数明显少于对照组(P<0.05);观察组的无症状菌尿阳性3例、血尿7例,对照组的无症状菌尿阳性10例、血尿19例(P<0.05)。结论改良留置导尿法在麻醉后剖宫产手术中操作时间短,消毒有效,减少泌尿道感染和血尿发生,值得临床推广应用。
Objective To investigate the clinical effect of modified indwelling catheter in cesarean section after anesthesia.Methods 140 patients with elective cesarean section were divided into observation group and control group according to the operation day,70 cases in each group.After anesthesia,the control group was operated according to the second edition of"Technical Specifications for Clinical Nursing".The observation group was treated with improved indwelling catheter after anesthesia.The operation time of catheterization,the number of perineal colonies and the occurrence rates of asymptomatic bacteriuria and hematuria after disinfection were recorded.Results The operation time of catheterization and the number of perineal colonies after disinfection in the observation group were significantly less than those in the control group(P<0.05);there were 3 cases of asymptomatic bacteriuria and 7 cases of hematuria in the observation group,10 cases of asymptomatic bacteriuria and 19 cases of hematuria in the control group,the difference between the two groups was significant(P<0.05).Conclusion Modified catheterization has the advantages of short operation time,effective disinfection,less urinary tract infection and hematuria in cesarean section after anesthesia.It is worthy of clinical popularization and application.
作者
余丽华
黄艳华
Lihua YU;Yanhua HUANG(Operation Department,Xiaolan Hospital,Affiliated to Southern Medical University,Zhongshan 518400,China)
出处
《心电图杂志（电子版）》
2019年第2期140-141,共2页
Journal of Electrocardiogram（Electronic Edition）
关键词
留置导尿
剖宫产术
腰-硬联合麻醉
Urethral catheterization
Cesarean section
Combined spinal-epidural anesthesia
