清洁间歇性导尿术在宫颈癌根治术后膀胱功能快速康复中的应用

目的 探讨清洁间歇性导尿术在宫颈癌根治术后膀胱功能快速康复中的应用效果。 方法 选择72例行宫颈癌根治术后存在膀胱功能障碍的患者,将其随机分为实验组和对照组各36例,实验组采用清洁间歇性导尿术,对照组采用留置导尿,比较2组患者术后1月的尿流动力学检查结果、尿路感染率和自主排尿时间的差异。 结果 术后1月实验组患者尿流动力学恢复正常率高于对照组(χ²=14.961,P<0.001),尿路感染率低于对照组(χ²=4.741,P=0.029),恢复自主排尿时间短于对照组(t=-4.157,P<0.001)。 结论 清洁间歇性导尿能促进宫颈癌根治术后膀胱功能的快速康复,减少尿路感染的发生。

Application of cleaning intermittent catheterization in the fast rehabilitation of bladder function after radical hysterectomy for cervical cancer

Objective To study the application effect of the cleaning intermittent catheterization in the fast rehabilitation of bladder function after the radical hysterectomy for cervical cancer. Methods Seventy-two patients with bladder dysfunction after the radical resection of cervical cancer were randomly divided into an experimental group and a control group, each of 36. The experimental group was given the cleaning intermittent catheterization, while the control group was provided with the indwelling catheterization. One month after the operation, the results of urodynamic examinations, urinary tract infection rate and time of autonomic urination were compared between the two groups. Results A month after the operation the recovery rate of urodynamics of the experimental group were significantly higher than that of the control group (χ²=14.961, P<0.001), while the urinary tract infection rate of the former was significantly lower than the latter (χ²=4.741, P=0.029) and the recovery time of the autonomic urination was significantly shorter than the latter (t=-4.157, P<0.001). Conclusion The clean intermittent catheterization can promote the fast rehabilitation of the bladder function after radical resection for cervical cancer patients, and reduce the incidence of urinary tract infection.