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剖宫产术后早期留置尿管拔除时间对产妇术后恢复的影响
引用本文:周碧,林志梅,黄宇松. 剖宫产术后早期留置尿管拔除时间对产妇术后恢复的影响[J]. 南方医科大学学报, 2012, 32(8): 1221-1223. DOI: 10.3969/j.issn.1673-4254.2012.08.35
作者姓名:周碧  林志梅  黄宇松
作者单位:1.广东医学院附属医院妇产科,广东湛江,524001;2.广东医学院附属医院妇产科,广东湛江,524001;3.广东医学院附属医院妇产科,广东湛江,524001
摘    要:目的 探讨剖宫产术后早期留置尿管拔除时间对产妇术后恢复情况的影响,为临床早期安全拔管提供依据.方法 选择广东医学院附属医院妇产科行剖宫产术产妇138例,随机分为实验组和对照组;实验组分别于术后6h和8h拔除尿管,对照组常规术后24 h拔除.结果 与对照组相比,实验组术后尿路感染的发生率和尿道刺激征出现率明显降低(P<005),产妇术后自然排尿率和舒适度明显增加(P<0.05).结论 剖宫产术后留置尿管拔除时间由传统24 h改为6~8h有利于产妇术后恢复.

关 键 词:剖宫产术  留置尿管  尿路感染  产后出血

Effect of extubation time of indwelling urinary catheters on postoperative recovery after cesarean section
ZHOU Bi,LIN Zhimei,HUANG Yusong. Effect of extubation time of indwelling urinary catheters on postoperative recovery after cesarean section[J]. Journal of Southern Medical University, 2012, 32(8): 1221-1223. DOI: 10.3969/j.issn.1673-4254.2012.08.35
Authors:ZHOU Bi  LIN Zhimei  HUANG Yusong
Affiliation:Department of Obstetrics and Gynecology,Affiliated Hospital of Guangdong Medical College,Zhanjiang 524001,China
Abstract:Objective To study the effect of extubation time of indwelling urinary catheters on postoperative recovery after cesarean section.Methods A total of 138 parturients undergoing elective cesarean delivery were randomized into experimental group and control group to have the urinary catheters removed at 6-8 h and 24 h after cesarean section,respectively.Results Compared with the control group,the experimental group showed significantly decreased incidences of urinary tract infection and urethral irritation(P<0.05),with also a significantly increased rate of autonomous urination and a higher degree of comfort(P<0.05) after removing the catheter.Conclusion A shortened indwelling time of urinary catheters can promote postoperative recovery after cesarean section.
Keywords:cesarean section  indwelled urinary catheter  urinary tract infection  postpartum hemorrhage
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