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腹部手术患者尿管拔出前膀胱冲洗对尿潴留及泌尿系感染的预防作用

Preventive Effect of Bladder Irrigation on Urinary Retention and Urinary Tract Infection in Patients Undergoing Abdominal Operation before Removal of Urinary Catheter
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摘要 目的探讨尿管拔出前膀胱冲洗对尿潴留及泌尿系感染的预防作用.方法收集盘锦市中医医院2014—2018年收治的腹部手术患者217例,随机分为观察组109例和对照组108例.对照组患者常规接受排尿训练,观察组患者在此基础上接受持续膀胱冲洗.观察术后3 d、5 d及7 d的泌尿系感染和尿潴留发生情况.结果两组患者术后3 d、5 d、7 d泌尿系感染发生率差异有统计学意义(P<0.05).术后3 d、5 d尿潴留发生率差异有统计学意义(P<0.05);而术后7 d尿潴留发生率差异无统计学意义(P>0.05).结论膀胱冲洗可有效预防腹部手术患者术后泌尿系感染和尿潴留发生情况. Objective To investigate the preventive effect of bladder irrigation on urinary retention and urinary tract infection before catheter withdrawal.Methods A total of 217 patients with abdominal surgery in our hospital from 2014 to 2018 were randomly divided into observation group(109 cases)and control group(108 eases).Patients in the control group received routine urination training,and patients in the observation group received continuous bladder irrigation.The incidence of urinary tract infection and urinary retention was observed at 3,5 and 7 days after operation.Results The incidence of urinary tract infection was significantly different between the two groups at 3,5 and 7 days after operation(P<0.05).There was significant difference in the incidence of urinary retention at 3 days and 5 days after operation(P<0.05),but there was no significant difference in the incidence of urinary retention at 7days after operation(P>0.05).Conclusion Bladder irrigation can effectively prevent urinary tract infection and urinary retention after abdominal surgery.
作者 罗波 LUO Bo(Traditional Chinese Medicine Hospital of Panjin,Panjin 124000,Liaoning Province,China)
机构地区 盘锦市中医医院
出处 《中国实用乡村医生杂志》 2019年第2期39-41,共3页 Chinese Practical Journal Of Rural
关键词 尿潴留 泌尿系感染 膀胱冲洗 腹部 手术 预防 Urinary Retention Urinary Tract Infection Bladder Irrigation Abdomen Surgery Prevention
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