颈椎间盘突出症手术后留置尿管拔管时机的探讨

Study on time for extubation of indwelling catheter after operation of cervical disc herniation

目的探讨尿管拔除时机对颈椎间盘突出症患者术后排尿的影响。方法将60例行颈椎间盘突出切除术后留置尿管的患者随机分为观察组和对照组。观察组在膀胱充盈有尿意时随尿液一起拔除尿管,对照组在排空膀胱后拔除尿管,观察两组患者拔除尿管后排尿的情况。结果观察组自行排尿93.3%,对照组自行排尿70.0%。观察组拔除尿管的时机选择优于对照组(P<0.01)。结论膀胱充盈同时有强烈尿意时拔除尿管,患者自行排尿成功率高,为留置尿管拔除的最佳时机。

Objective To investigate the time for pull - out catheter in patients with cervical disc herniation for postoperative voiding impact. Methods Sixty patients with indwelling catheter after routine cervical disc excision were randomly divided into two groups ： observation group and control group. The catheters of patients in observation group are intended to pull out with the sensation of urinary bladder filling, and the catheters of patients in control group are pulled out with empty bladder, and the conditions of urination of patients in these two groups were reeorded. Results 93.3 % of patients in observation group are with self- voiding, and 70.0% of patients in control group are with self- voiding. The timing for catheter removal in patients of observation group is superior to that of control group（ P 〈 0.01 ）. Conclusion Bladder filling with a strong sensation for pull - out catheter in patients with a high sueeessful rate of self - voiding is the best time for pull out.