摘要
目的探讨主动膀胱功能锻炼对行剖宫产产妇尿路感染的影响,为预防剖宫产产妇尿路感染提供科学依据。方法选取2014年6月-2015年8月医院行剖宫产且留置导尿管产妇584例为研究对象,按照随机数表法将患者分为被动锻炼组(被动组)和主动锻炼组(主动组),每组各292例;被动组在常规干预的基础上对产妇的尿管封闭从而对膀胱产生刺激,以促进膀胱功能的恢复,当患者有尿意时进行引流处理,通过这种被动锻炼膀胱功能来促进产妇恢复,主动组在常规干预的基础上让产妇在吸气时收缩腹部并屏气维持以锻炼腹部,有节奏地进行提肛运动以锻炼臀部,通过这种有意识的腹部和臀部肌肉锻炼,来主动锻炼膀胱功能以促进产妇恢复;对比分析两组产妇的尿路感染率、排尿时间、残余尿量和排尿有效率。结果被动组发生尿路感染27例,感染率为9.2%,主动组发生尿路感染4例,感染率为1.4%,主动组尿路感染率明显低于被动组,差异有统计学意义(P<0.05);被动组排尿时间0~3h产妇69例占23.6%,>3h产妇223例占76.4%,主动组排尿时间0~3h产妇234例占80.1%,>3h产妇58例占19.9%;被动组残余尿量0~100ml产妇65例占22.3%,>100ml患者227例占77.7%,主动组残余尿量0~100ml患者244例占83.6%,>100ml产妇48例占16.4%;被动组排尿顺利患者125例占42.8%,排尿辅助顺利患者136例占46.6%,排尿无效患者30例占10.3%,总有效率89.7%,主动组排尿顺利患者172例占58.9%,排尿辅助顺利患者115例占39.4%,排尿无效患者5例占1.7%,总有效率98.3%。结论剖宫产产妇术后进行主动膀胱功能锻炼能够显著降低尿路感染的发生率,有效预防尿路感染,有效减少排尿时间及残余尿量,提高产妇排尿有效率。
OBJECTIVE To explore the effect of active bladder function training on urinary tract infections in women with cesarean section,so as to provide scientific basis for prevention of urinary tract infections after cesarean section.METHODS A total of 584 cases of women with cesarean section and indwelling catheter from Jun.2014 to Aug.2015 in our hospital were selected as the research objects,and were randomly divided into passive group and active group according to the random number table method,with 292 cases in each group.Patients in the passive group were treated with urinary catheter closed resulting in stimulation of the bladder based on routine nursing,in order to promote the recovery of bladder function.Drainage treatment was carried out when patients wanted to urinate,in order to promote the recovery of patients by the passive exercise of bladder function.Patients in active group were asked to contract abdomen and hold breath to maintain abdomen qhile inhaling on the basis of routine intervention,and exercise the buttocks using rhythmic manner levator ani movement,in order to promote the recovery of patients by active exercise of bladder function,through the conscious abdomen and buttocks muscles exercise,The urinary tract infection rate,urination time,residual urine volume and urination efficiency between the two groups were compared and analyzed.RESULTS There were 27 cases of patients with urinary tract infections in passive group,with the infection rate of 9.2%,and 4 cases of urinary tract infections in active group,with the infection rate of 1.4%.The urinary tract infection rate in active group was significantly lower than that in passive group（P〈0.05）.There were 69 cases of patients with urination time of 0～3 h（23.6%）and 223 cases of patients with more than 3 h（76.4%）in passive group,and there were 234 cases of patients with urination time of 0～3 h（80.1%）and 58 cases of patients with more than 3 h（19.9%）in active group.There were 65 cases of patients with residual urine volume o
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第17期3989-3992,共4页
Chinese Journal of Nosocomiology
基金
海南省医药卫生科研基金资助项目(15A200037)
关键词
剖宫产
膀胱功能锻炼
尿路感染
Cesarean section
Bladder functional exercise
Urinary tract infection
