大量饮水法加心理干预对预防溶盘术后尿潴留的效果

Effects of Drinking Lots of Water with Psychological Intervention in Prevention of Postoperative Urinary Retention after Chemonucleolysis

目的探讨大量饮水法加心理干预对预防溶盘术后尿潴留的效果。方法用随机数字表法将腰椎间盘突出症胶原酶溶解术后患者880例分为观察组440例和对照组440例。对照组按大量饮水法护理;观察组除按大量饮水法护理外,再加心理干预。分别观察2组患者术后排尿、抗生素使用情况及平均住院费用。结果观察组术后排尿困难发生率(16.82%)、尿潴留发生率(3.86%)、导尿发生率(1.59%)均明显低于对照组(24.77%、7.27%、4.09%)(P<0.01),差异有统计学意义;观察组抗生素平均使用时间(3.02±1.31)d、平均住院费用(8 735.29±201.34)元均低于对照组[(3.55±1.75)d、(8 913.34±232.52)元](P<0.05),差异有统计学意义。结论大量饮水法加护理干预明显优于单纯大量饮水法,能大大提高患者生活质量,减轻经济负担。

Objective To study the effects of drinking lots of water with psychological intervention in prevention of postoperative urinary retention after chemonucleolysis.Methods A total of 880 patients who underwent chemonucleolysis for lumbar disc herniation were randomly assigned to receive either drinking lots of water（control group,n=440） or drinking water plus psychological intervention（observation group,n=440）.Postoperative urination,antibiotic usage,and average hospital costs were assessed in both groups.Results The incidence of dysuria,urinary retention and urinary catheterization in observation group were significantly lower than those in control group（16.82% vs 24.77%,3.86% vs 7.27%,and 1.59% vs 4.09%,respectively;P0.01）.The duration of antibiotic usage and average hospital costs in observation group were significantly decreased compared with control group [（3.02±1.31）days vs（3.55±1.75）days,and（8 735.29±201.34）RMB vs（8 913.34±232.52）RMB,respectively;P0.05].Conclusion Compared with drinking lots of water alone,drinking lots of water with psychological intervention can obviously improve the quality of life and reduce economic burden in patients who underwent chemonucleolysis for lumbar disc herniation.