脊柱手术患者拔除尿管后尿潴留应用开塞露灌肠联合间歇导尿的效果观察

Effect of Intermittent Catheterization and Glycerin Enema on Urinary Retention after Removal of Catheter for Patients with Spinal Surgery

目的探讨脊柱手术拔除尿管后发生尿潴留的患者应用开塞露小量不保留灌肠联合间歇导尿的效果。方法将脊柱手术拔除尿管后出现尿潴留的52例患者随机分为对照组24例和观察组28例。对照组运用常规尿潴留的处理流程:采用诱导排尿术,无效患者采用开塞露塞肛诱导排尿,以上措施无效患者,予重新留置尿管;观察组在运用诱导排尿术无效后,加用开塞露小量不保留灌肠联合间歇导尿处理,以上措施无效患者,予重新留置尿管。分别统计两组患者经诱导排尿术后自主排尿的例数,及拔除尿管后12 h实施各组尿潴留处理流程后自主排尿的例数。结果两组尿潴留患者经诱导排尿术后自主排尿情况比较,差异无统计学意义(P>0.05);拔除尿管后12 h实施各组尿潴留处理流程后自主排尿情况比较,观察组明显优于对照组,差异有统计学意义(P<0.01)。结论脊柱手术拔除尿管后尿潴留患者应用开塞露小量不保留灌肠联合间歇导尿,有利于患者尽早恢复自主排尿。

Objective To discuss the effect of intermittent catheterization and glycerin enema on urinary retention after removal of catheter for patients with spinal surgery.Methods 52 cases with urinary retention after removal of catheter were randomly divided into control group（n=24） and experimental group（n=28）.Conventional methods were applied in control group while in experimental group,after the failure of inducing urination,joint measures including glycerin enema and intermittent catheterization were taken.Catheter would be re-indwelled once joint measures were in vain.Cases of autonomous urination after inducing urination and cases of autonomous urination with the treatment of urinary retention 12 h after removal of catheter were compared.Results There was no statistical significance of the comparison of cases of autonomous urination in two groups（P0.05）,while there were more cases of autonomous urination in experimental group than in control group after the treatment of urination retention 12 h after the removal of catheter,the comparison of which was of statistical significance（P0.01）.Conclusion For patients with spinal surgery,joint measures including intermittent catheterization and non-retention enema with small amount of glycerin after removal of catheter could enhance autonomous urination as early as possible.