妇产科术后自控硬膜外镇痛致尿潴留的防治体会

The Prevention and Treatment Experience of Uroschesis Caused by Patient-controued Epidural Analgesia after Obstetrical and Gyecological Operation

目的探讨自控硬膜外镇痛(PCEA)致尿潴留的防治方法。方法在去除自控硬膜外镇痛泵3h以后拔出导尿管,配合常规的防治措施。并设置对照组进行观察、对比。结果两组对照,实验组尿潴留发生率降低(P<0.01),差异有显著意义。结论自控硬膜外镇痛效果好,短暂的尿潴留不会造成肌体损害,采取积极措施防止和减少尿潴留的发生。

Objective To explore the prevention and treatment methods of uroschesiscaused by patient-controued epidural andlgesia (PECH) . Methods Catheyerization tube was extracted 3 hours after removing the PECH pump cooperating with the concentional measure of prevention and treatment ,and establish the matched control to proceed observe and contrast . Results The incidence of uroschesis reduced with comparison between the two groups and the difference was significant . Conclusion Curative effect on PECA was better. Short uroshesis wouldn't do harm to bodies. Positive prevention and treatment measure may avoid and reduce the incidence of uroschesis .