首页|前列腺电切患者选择不同时机拔除留置尿管对自行排尿情况的影响分析

前列腺电切患者选择不同时机拔除留置尿管对自行排尿情况的影响分析

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目的 分析前列腺电切患者留置尿管拔除不同时机对自行排尿情况的影响.方法 选取2022年8月—2023年7月就诊于本院的行前列腺电切术患者93例,随机分为1组(术后48h之内将尿管拔除)、2组(术后48~72h将尿管拔除)和3组(术后>72h将尿管拔除),每组31例,并对三组尿管拔除效果进行分析.结果 与1组患者相比,2组和3组患者自行排尿成功率均明显较高,组间差异有统计学意义(P<0.05);与1组和3组患者相比,2组患者排尿困难程度明显较好,组间差异有统计学意义(P<0.05);与1组患者相比,2组患者再次置管率明显较低,组间差异有统计学意义(P<0.05);与3组患者相比,2组患者尿路感染发生率明显较低,组间差异有统计学意义(P<0.05);与1组和3组相比,2组患者术后住院时间明显较短,组间差异有统计学意义(P<0.05).结论 前列腺电切患者在术后48~72h将尿管拔除可获得满意的效果,不但可保证良好的自行排尿效果,同时可降低再次置管率和尿路感染发生率,可缩短住院时间,建议推广.
Effect Analysis of Different Timing of Removing Indwelling Catheters on Spontaneous Urination of Patients with Prostate Electrocautery
Objective To analyze effect of different machines for removing indwelling catheters on spontaneous urination of patients with prostate electrocautery.Methods The paper chose 93 patients with prostate electrocautery in our hospital from August 2022 to July 2023 as analysis subjects,and divided them into three groups randomly:31 cases with urinary catheter being removed within 48 hours after surgery were included in group 1,31 cases with urinary catheter being removed within 48-72 hours after surgery in group 2,and 31 cases with urinary catheter being removed after>72 hours after surgery in group 3.Effect of removal was further analyzed.Results Success rate of spontaneous urination in group 2 and group 3 was significantly higher than group 1,with P<0.05.Group 2 had significantly better difficulty in urination than group 1 and group 3,with difference,P<0.05.Group 2 had significantly lower rates of recatheterization than group 1.Incidence of urinary tract infections of group 2 was significantly lower than group 3,P<0.05.Postoperative length of stay of roup 2 was significantly shorter than group 1 and 3,with P<0.05.Conclusion Removing urinary catheter 48~72 hours after surgery can achieve satisfactory effect for prostate electrocautery patients,can ensure good self urination effect,reduce recatheterization rate and urinary tract infection,shorten length of stay,which is recommended for promotion.

Prostate electrocauteryIndwelling urinary catheterDifferent extraction timingSelf urination situation

苏曼曼、赵文朵、张晴晴

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江苏省徐州市中心医院,江苏 徐州 221000

前列腺电切术 留置尿管 不同拔除时机 自行排尿情况

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(12)
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