Effects of early removal of catheter in gynecological general anesthesia laparoscopic operation on postop-erative recovery of patients
Objective To explore the effects of early removal of urinary catheter on postoperative recovery of patients undergoing gynecological laparoscopic surgery under general anesthesia and provide basis and reference for urina-ry catheter management after gynecological laparoscopic surgery under general anesthesia.Methods A total of 120 patients treated with laparoscopic surgery under general anesthesia were selected from the gynecological inpa-tient department of a Grade-IIIA hospital in Hebei province,and randomly divided into control group and inter-vention group,with 60 cases in each group.In the control group,the catheter was removed the next morning af-ter the routine operation.In the intervention group,the catheter was removed immediately after the patients re-turned to the ward to evaluate the recovery of the patients(full consciousness,normal muscle strength,effective analgesia,stable vital signs,and no bladder filling).The incidence of postoperative urinary tract infection,urethral comfort,first urination,catheter replacement rate,first ambulation time and first exhaust time were compared between the two groups.Results There was no significant difference in the incidence of urinary tract infection and catheter replacement rate between the intervention group and the control group(P>0.05).The first urination and urethral comfort in the intervention group were better than those in the control group,and the first spontaneous urination time,the first getting out of bed activity time and the first exhaust time were signifi-cantly earlier than those in the control group,with statistical significance(P<0.05).Conclusion Early removal of the catheter after returning to the ward to fully assess the recovery of patients after gynecological general anes-thesia laparoscopic surgery will not increase the risk of urinary tract infection and catheter reset,can promote the smooth first urination of patients,improve the comfort of urethra,and advance the first spontaneous urination time,the first getting out of bed and the first exhaust time of patients after extubation,so as to accelerate the postoperative recovery of patients.
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