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剖宫产孕妇术前留置导尿管最佳时期的临床观察 被引量:2

剖宫产孕妇术前留置导尿管最佳时期的临床观察
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摘要 目的探讨剖宫产孕妇留置导尿管的最佳时期。方法选择行剖宫产孕妇360例,随机分成对照组和实验组,每组180例实验组在麻醉平面出现后行留置导尿管,对照组在麻醉前留置导尿管,比较两组孕妇导尿前后紧张、疼痛、血压、心率变化及一次性插管成功率及菌尿症发生的情况。结果两组孕妇留置导尿管时紧张,血压、心率的变化及一次性插管成功率比较均有显著差异("P<0.05"),两组孕妇尿道胀痛,菌尿症发生具有极显著差异("P<0.01")。结论对剖宫产孕妇在麻醉平面出现后行导尿术,可缓解孕妇紧张情绪,减少尿道胀痛,减轻孕妇的痛苦,减少尿路感染的发生,提高一次性插管的成功率,是剖宫产孕妇留置导尿管的最佳时期。 Objective To investigate the optimization period of remaining urethral catheter in uterine-incision delivery pregnant women. Methods 360 inuterine-incision delivery pregnant women were recruited, randomized into control group or test group, 180 women in each group. remaining urethral catheter after anaesthesia was performed in test group, on the contrary in control group. Tension, urethra gas pains, blood pressure, heart rate, achievement ratio of one time intubation and bacteriuria were compared in the two groups. Results Tension, blood pressure, heart rate and achievement ratio of one time intubation in remaining urethral catheter pregnant women were significant difference ("P〈0.05"), urethra gas pains and bacteriuria were extreme significant difference between the two grouops ("P〈0.01"). Conclusion Remaining urethral catheter after anaesthesia in uterine-incision delivery pregnant women may relieving tension, urethra gas pains, urinary tract infection, and increasng achievement ratio of one time intubation, and it's the optimization period for uterine-incision delivery pregnant women to remaining urethral catheter.
作者 邱荣先
出处 《当代医学》 2009年第22期60-61,共2页 Contemporary Medicine
关键词 剖官产 孕妇 麻醉 导尿 uterine-incision delivery pregnant women anaesthesia urethral catheterization
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