摘要目的 探讨尿管持续引流在宫颈癌根治术后长期留置尿管患者中的应用效果.方法 选取江苏省无锡市妇幼保健院2015年1月—2016年12月经腹宫颈癌根治术患者100例,按照随机数字表法将患者分为对照组和观察组,每组50例,患者术后均留置尿管.对照组给予常规护理,并于下床活动时尿管保持夹闭状态,术后第14天由专人负责,明确膀胱功能已恢复,在患者有尿意的情况下拔除尿管.观察组在常规护理基础上,给予持续引流尿液,尿管留置期间不给予夹闭,于术后第14天拔除尿管.比较两组首次排尿量、膀胱残余尿、再置尿管情况.结果 观察组和对照组拔除尿管后首次排尿量、残余尿、再置尿管情况比较差异均无统计学意义(P＞0.05).结论 宫颈癌根治术患者术后留置尿管拔管前持续引流没有增加拔管后尿潴留发生率,也有利于患者膀胱功能的恢复,值得临床推广应用.

abstractsObjective To explore the effects of continuous urethral drainage in patients with long-term urethral catheter after radical operation for cervical cancer. Methods Totally 100 patients who received radical operation for cervical cancer in Wuxi Maternal and Child Health Hospital between January 2015 and December 2016, were selected and equally divided into the control group and the observation group, according to the random number table. The patients received indwelling urethral catheters post operation. Patients in the control group received convention nursing and the catheters were clipped during ambulation. The urethral catheters were removed on postoperative day 14 when the patients had to urinate after the functional recovery bladder was confirmed by a specially-assigned nurse. Patients in the observation group received continuous urethral drainage on the basis of conventional nursing. The indwelling urethral catheters were not clipped and were removed on day 14 postoperatively. First urine output, residual urine in bladders and replacement of urethral catheters were compared between the two groups. Results There was no significant difference between the two groups in first urine output, residual urine and replacement of urethral catheters (P＞ 0.05). Conclusions The continuous urethral drainage by indwelling catheters do not increase the incidence rate of uroschesis before they are removed in patients receiving radical operation for cervical cancer and is conducive to the functional recovery of bladders, which is worth promoting in clinical practice.