自主排尿锻炼法预防子宫颈癌术后尿潴留的效果观察

目的：探讨自主排尿膀胱功能锻炼法对预防宫颈癌根治术后尿潴留的效果。方法将103例宫颈癌根治术后患者随机分为实验组和对照组，其中实验组53例，对照组50例。对照组给予常规护理，实验组在常规护理基础上，实施自主排尿锻炼法进行膀胱功能锻炼，观察两组患者术后膀胱功能恢复情况，测量两组患者术后残余尿量及尿潴留发生率。结果术后14 d拔除尿管后，实验组有2例残余尿量≥100mL （尿潴留发生率4％），对照组有9例残余尿量≥100mL （尿潴留发生率18％），两组比较差异有统计学意义（P＜0.05）；实验组有3例发生泌尿系感染（发生率5.7％），对照组有11例发生泌尿系感染（发生率22％），泌尿系感染发生率两组比较差异有统计学意义（P＜0.05）。结论宫颈癌根治术后患者进行自主排尿锻炼法，能有效促进膀胱功能恢复，预防术后尿潴留的发生。

Observation on the effect of self urination exercise in the prevention of postoperative urinary retention in patients with cervical cancer

Objective To explore the effect of autonomic bladder function training on the prevention of urinary retention after radical operation of cervical cancer .Methods One hundred and three cases of cervical cancer patients were randomly divided in‐to experimental group and control group ,including 53 cases in experimental group and 50 cases in control group .The control group was given routine nursing ,the experimental group on the basis of conventional care ,the implementation of Autonomous Urination exercise method for bladder functional exercise and recovery of bladder function were observed in two groups ,meas‐ured two groups of patients with postoperative residual urine volume and the incidence of urinary retention .Results After 14 days after catheter removal and 53 cases in the experimental group had 2 cases of residual urine volume is more than 100ml (the incidence of urinary retention was 4% ) ,50 cases in the control group there were 9 cases of residual urine volume is more than 100ml (the incidence of urinary retention was 18% ) ,there was significant difference between two groups (P<0.05);3 cases of urinary tract experimental infection group (5.7% ) ,the control group had 11 cases of urinary tract infection (22% ) ,urinary tract infection rate between the two groups had significant difference (P<0.05) .Conclusion The patients with cervical cancer after radical operation can effectively promote the recovery of bladder function and prevent the occurrence of postoperative uri‐nary retention .