间歇性导尿在宫颈癌根治术后患者膀胱功能恢复及预防泌尿系统感染的应用研究

目的:分析间歇性导尿在宫颈癌根治术后患者膀胱功能恢复及预防泌尿系统感染的临床意义。方法:选取中国人民解放军总医院妇产科2014年1月—2016年12月收治的早期宫颈癌(FIGOⅠA期、ⅠB期、ⅡA期)手术后残余尿量不合格患者182例,于手术后第10天拔除尿管,测残余尿量≥100 mL者为不合格。随机分为观察组(89例)和对照组(93例),观察组采用间歇性导尿及个体化精准护理,对照组采用留置尿管及常规护理。记录2组患者一般情况,比较2组患者残余尿量合格需要的时间和泌尿系统感染情况。结果:2组患者年龄、手术方式、FIGO分期、残余尿量分级比较差异无统计学意义(均P>0.05)。残余尿量100~200 mL、201~350 mL者中,观察组残余尿量合格需要的时间少于对照组,差异有统计学意义(均P<0.001),观察组泌尿系统感染发生率低于对照组,差异有统计学意义(均P<0.05)。结论:间歇性导尿能够促进宫颈癌根治术后患者膀胱功能恢复、降低泌尿系统感染发生率,该方法操作简便、患者易接受、临床效果满意,适合推广应用。

Effects of Intermittent Urethral Catheterization for Bladder Function Recovery and Urinary Tract Infection Prevention in the Patients after Radical Resection for Cervical Cancer

Objective:To analyze the effect of intermittent catheterization on the recovery of bladder function and urinary tract infection prevention in patients with cervical carcinoma. Methods:Patients (n=182) with early cervical cancer (FIGOⅠA,ⅠB andⅡA ) were selected from the General Hospital of PLA in January 2014-December 2016. Postoperative patients with residual urine volume (≥100 mL) were randomly divided into observation group (n=89) and control group (n=93). The general materials of the two groups were recorded, and the recovery time of residual urine volume (<100 mL) and the incidence of urinary tract infection were compared between the two groups. Results:There was no significant difference between the two groups in the mean age, the clinical stage of FIGO and the residual urine volume (P>0.05). In the residual urine volume (100-200 mL, 201-350 mL) patients, the time up to standard of observation group was less than that of the control group ( P<0.001). The incidence of urinary tract infection in observation group was less than that in control group ( P<0.05). Conclusions:Intermittent catheterization can promote the recovery of bladder function and reduce the incidence of urinary tract infection in patients with cervical cancer.