摘要
目的探讨骨科全麻下肢手术患者术后超早期拔除尿管的效果。方法将281例骨科全麻下肢手术患者按病区分为干预组(134例)和对照组(147例)。干预组按指令完成眨眼后实行超早期拔除尿管方案,对照组按常规手术次日拔除尿管。结果干预组尿管留置时间、留置导尿相关膀胱不适、拔管后首次排尿不适显著短于/低于对照组(均P<0.01);干预组恢复自主排尿时间较对照组长(P<0.01),但两组拔管后复插率比较,差异无统计学意义(P>0.05)。结论超早期拔除尿管能显著缩短骨科全麻下肢手术患者术后尿管留置时间,减轻患者留置导尿相关膀胱不适及拔管后首次排尿不适,不会增加拔管后复插率,拔管后自主排尿时间延长,但仍在正常范围内。
Objective To explore the effect of super-early removal of urinary catheter in patients undergoing lower extremity orthopedic surgery under general anesthesia.Methods A total of 281 patients undergoing lower extremity orthopedic surgery under general anesthesia were divided into an intervention group(n=134)and a control group(n=147)according to the wards they lived in.The intervention group received super-early removal of urinary catheter after the patient could blink eyes following an order,while the control group was given routine removal of urinary catheter at the next day after surgery.Results The duration of catheter indwelling,catheter related bladder discomfort and discomfort during the first voiding were significantly shorter/milder,whereas the recovery of spontaneous urination was longer in the intervention group than the control group(P<0.01 for all).There was no significant difference in re-catheterization between the two groups(P>0.05).Conclusion Super-early removal of urinary catheter can significantly shorten the duration of catheter indwelling in patients undergoing lower extremity orthopedic surgery under general anesthesia,ameliorate catheter related bladder discomfort and discomfort during first urination,and does not increase re-cathete-rization.It would lead to longer spontaneous urination,but within the normal range.
作者
卫转
郭锦丽
李冰
李佳慧
王翠萍
王芳
Wei Zhuan;Guo Jinli;Li Bing;Li Jiahui;Wang Cuiping;Wang Fang(Nursing School of Shanxi Medical University,Taiyuan 030001,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第9期36-39,共4页
Journal of Nursing Science
基金
山西医科大学第二医院护理基金项目(201804-1)。
关键词
全麻
骨科
下肢手术
留置尿管
拔管
超早期
general anesthesia
orthopedics
lower extremity surgery
urinary catheterization
catheter removal
super early stage
