摘要
目的:观察自行间歇性清洁导尿(clear intermittent catheterization,CIC)干预在子宫内膜癌(endometrial cancer,EC)患者广泛全子宫切除术(radical hysterectomy,RH)后的应用效果。方法:选择2016年6月-2019年6月在本院行RH后不能自主排尿或排尿后残余尿>100 mL的80例EC患者,按随机数x表法分为观察组和对照组,每组40例。对照组给予常规的留置尿管,观察组给予CIC。比较两组手术时间和术中出血量。比较两组术后第7、21天的膀胱残余尿量;于术后第14、21天比较两组泌尿系统感染率;于术后21 d评估并比较两组膀胱功能。结果:两组手术时间、术中出血量和术后第7天的膀胱残余尿量比较,差异均无统计学意义(P>0.05)。术后第21天,观察组的膀胱残余尿量明显低于对照组(t=5.899,P<0.05)。术后第14天,观察组泌尿系统感染率为15.00%,明显低于对照组的57.50%(x^2=15.632,P<0.001)。术后第21天,观察组泌尿系统感染率为27.50%,明显低于对照组的85.00%(x^2=26.870,P<0.001)。观察组膀胱恢复较好率为60.00%,明显高于对照组的32.50%(x^2=6.084,P=0.014)。结论:CIC干预可以明显促进EC患者RH后膀胱功能的恢复,降低泌尿系统感染率,值得临床推广。
Objective:To observe the effect of self clear intermittent catheterization (CIC) intervention in patients with endometrial cancer (EC) after radical hysterectomy (RH).Method:A total of 80 cases of EC patients unable to spontaneously urinate or >100 mL of residual urine after RH in our hospital from June 2016 to June 2019 were selected.They were divided into observation group and control group according to the random number table method,with 40 cases in each group.The control group was given routine indwelling catheter,and the observation group was given CIC.The operative time and intraoperative blood loss were compared between the two groups.Bladder residual urine volume was compared at 7th and 21st d after surgery between the two groups.Urinary infection rate were compared between the two groups at 14th and 21st d after surgery.Bladder function of the two groups were evaluated and compared at 21st d after surgery.Result:There were no statistically significant differences between the two groups in operation time,intraoperative blood loss and bladder residual urine volume at 7th d after surgery (P>0.05).At 21st d after the surgery,bladder residual urine volume in the observation group was significantly lower than that in the control group (t=5.899,P<0.05).At 14th d after surgery,the urinary infection rate in the observation group was 15.00%,lower than 57.50% in the control group (x^2=15.632,P<0.001).At 21st d after surgery,the urinary infection rate in the observation group was 27.50%,significantly lower than 85.00% in the control group (x^2=26.870,P<0.001).The better recovery rate of bladder in the observation group was 60.00%,significantly higher than 32.50% in the control group (x^2=6.084,P=0.014).Conclusion:CIC intervention can significantly promote the recovery of bladder function after RH in EC patients and reduce urinary tract infection rate,which is worthy of clinical promotion.
作者
杨燕
项桂芳
YANG Yan;XIANG Guifang(The 73st Hospital of Chinese People’s Liberation Army,Xiamen 361001,China)
出处
《中国医学创新》
CAS
2020年第6期133-136,共4页
Medical Innovation of China
关键词
自行间歇性清洁导尿
广泛全子宫切除术
子宫内膜癌
膀胱功能
Self clear intermittent catheterization
Radical hysterectomy
Endometrial cancer
Bladder function
