早期拔除尿管对腹腔镜下结肠癌术后镇痛患者的影响

目的 探讨腹腔镜下结肠癌术后镇痛期间拔除尿管对患者尿潴留及相关并发症的影响.方法 分析本院2014年1月至2015年12月腹腔镜下结肠癌术后留置镇痛泵的患者46例,其中实验组23例(留置镇痛泵期内拔除尿管),对照组23例(停用镇痛泵后拔除尿管).两组术后尿潴留率、尿路感染率、肺部感染率、伤口感染率及满意率等指标比较.结果 两组患者的尿潴留率(8.7％比4.3％)、肺部感染率(4.3％比8.7％)、伤口感染率(4.3％比13.0％),差异均无统计学意义(均P＞0.05).两组患者均未出现导尿管相关性尿路感染.实验组满意率78.3％高于对照组47.8％,差异有统计学意义(P＜0.05).结论 腹腔镜下结肠癌术后留置镇痛泵的患者早期拔除尿管是安全可行的,且能减轻留置尿管引起的不适.

Impact of early removal urethral catheter in patients following laparoscopic colon surgery with epidural analgesia

Objective To investigate the influence of urethral catheter (UC) removal on urinary retention rate in patients following laparoscopic colon surgery with epidural analgesia (EA).Methods Clinical data of 46 patients undergoing laparoscopic colon surgery were selected from January 2014 to December 2015 in our hospital,including 23 cases in test group (UC removed within EA) and 23 cases in control group (UC removed following cessation of EA).The rates of urinary retention,urinary tract infection,lung infection,surgical site infection,and satisfaction of the two groups were observed and analyzed.Results There were no statistically significant differences in the rates of urinary retention (8.7％ vs.4.3％),lung infection (4.3％ vs.8.7％),and surgical site infection (4.3％ vs.13.0％) between the test group and the control group (P＞0.05).No urinary tract infection was found in both groups.The satisfaction rate of the test group was higher than that of the control group (78.3％ vs.47.8％,P＜0.05).Conclusion Patients following laparoscopic colon surgery with epidural analgesia may remove their UC early,which can reduce the incontinence caused by indwelling catheter.