摘要
目的比较老年男性全髋关节置换术后患者不同时间拔除尿管所产生并发症的情况,寻求和选择术后尿管拔除的有利时机。方法选取2013年5月-8月60例需行全髋关节置换术的老年男性患者,随机分为试验组和对照组,每组各30例,试验组患者术后24 h内拔除尿管;对照组术后24 h后拔除尿管。所有患者均在术前2 h内行清洁导尿,安置双腔气囊导尿管。详细记录患者的留置尿管时间、首次自行排尿时间、拔管后排尿情况及并发症情况并比较。结果试验组在尿潴留、尿道疼痛、膀胱痉挛和膀胱刺激征发生率方面低于对照组(P<0.05),而在拔管后首次排尿时间方面,试验组与对照组患者差异无统计学意义(P=0.488)。结论术后24 h内拔除尿管能有效降低尿潴留、尿道疼痛、膀胱痉挛和膀胱刺激征的发生率,利于早期术后康复。
Objective To investigate the optimal catheter extubation time by comparing the postoperative complications in elderly patients undergoing total hip arthroplasty with catheter extubation at different times. Methods Between May and August 2013, 60 patients needing total hip replacement were randomly divided into experimental group and control group with 30 in each. The patients＇ average age of the experimental group was 75.6 years （65-87 years） and of the control group was 76.9 years （66-85 years）. Extubation was performed within 24 hours after surgery in the experimental group, while it was performed after 24 hours after surgery in the control group. All the patients underwent clean catheterization with a Foley catheter two hours before surgery. The catheter indwelling time, first time of self-urination, urination after extubation, and complications were recorded and compared between the two groups carefully. Results The incidence of complications （urinary retention, urethral pain, cystospasm and urinary irritant symptoms） in the experimental group was significantly less than the control group （P 〈 0.05）. The first urination time had no significant difference （P 〉 0.05） between the two groups. Conclusion The extraction of indwelling catheter in the early postoperative period （within 24 hours） can reduce the incidence of complications and is better for the early postoperative rehabilitation.
出处
《华西医学》
CAS
2014年第9期1730-1732,共3页
West China Medical Journal
