改良后尿管拔除方法对宫颈癌术后患者尿潴留发生率及尿路疼痛的影响

目的分析改良后尿管拔除方法对宫颈癌术后患者尿潴留发生率以及尿路疼痛的影响。方法采用便利抽样法,选取2018年2—9月在北京某三甲医院行宫颈癌根治术患者为研究对象,采用随机数字表法随机分为对照组和干预组,每组各52例,对照组采用常规拔除尿管方法,干预组采用改良后尿管拔除方法。采用国际尿控协会指南中尿潴留的诊断标准和Wong-Bake面部表情疼痛分级量表比较患者拔管后尿潴留发生率和排尿时尿路疼痛评分。结果干预组尿潴留发生率15.4%(8/52),低于对照组的32.7%(17/52),两组比较差异有统计学意义(P<0.05)。干预组患者Wong-Baker疼痛评分(2.38±1.37)分,低于对照组患者评分(4.08±1.25)分,两组比较差异有统计学意义(P<0.05)。结论改良后尿管拔除方法可预防宫颈癌术后患者尿潴留的发生,同时减轻排尿时疼痛程度。

Effects of modified ureteral catheter removal on urinary retention and urinary tract pain after radical resection of cervical cancer

Objective To explore the effects of modified ureteral catheter removal on urinary retention and urinary tract pain after radical resection of cervical cancer.Methods Patients undergoing radical resection of cervical cancer in a ClassⅢGrade A hospital in Beijing from February to September 2018 were selected using convenient sampling and divided into the control group(n=52)and the intervention group(n=52)according to the random number table.Patients in the control group received routine catheter removal,while patients in the intervention group received modified catheter removal.The diagnostic criteria for urinary retention in the International Association of Urinary Control Guidelines and Wong-Bake Facial Expression Pain Rating Scale were used to evaluate the incidence of urinary retention after extubation and the degree of urinary tract pain during urination.Results The incidence of urinary retention in the intervention group was 15.4%(8/52),which were lower than that 32.7%(17/52)in the control group,the difference was statistically significant(P<0.05);and Wong-Baker score in the intervention group was(2.38±1.37),which were lower than that(4.08±1.25)in the control group,and the difference was statistically significant(P<0.05).Conclusions The modified ureteral catheter removal can prevent the occurrence of urinary retention in patients with cervical cancer after surgery and reduce the pain during urination.