膀胱挤压排尿法在小儿术后预防尿潴留中的应用

Application of Credé maneuver for preventing children's postoperative urinary retention

目的 :探讨膀胱挤压排尿(Credé)法在小儿术后预防尿潴留的有效性。方法:80例患儿随机分成两组,Credé组(40例)和对照组(40例)。Credé组术后给予Credé,对照组不予Credé。术后12 h观察两组患儿是否发生尿潴留而需行导尿术,同时对其进行舒适度评分和并发症的观察。结果:术后两组患儿的导尿率和舒适度评分之间的差异有统计学意义(P<0.05),Credé组的导尿率和舒适度评分均低于对照组(P<0.05),两组患儿住院期间均未出现其他并发症。结论:Credé法可以有效地预防小儿基础麻醉加骶管阻滞后尿潴留的发生,提高患儿术后舒适度,并可避免术中限制液体输入带来的风险。

Objective： To explore the effectiveness of Crede maneuver to in prevention of urinary retention after the basal anesthesia combined with sacral anesthesia in children. Methods： Eighty cases were randomly divided into Crede group （n=40） and control group （n=40） two groups. The bladder of children was postoperatively squeezed for urination, while that in the control group was not. The incidence rate of urinary retention and evaluation of comfort score were recorded after 12 hours, and other possible complications were recorded too. Results： Differences between two groups with incidence rate of urinary retention and comfort score were significant, Both observations in Crede group was lower than that in control group （P〈0.05）, and all children had no complication until hospital discharge. Conclusion： Crede maneuver is effective to prevent urinary retention after basal anesthesia combined with sacral anesthesia in children, and it improve children＇s postoperative comfort, and it can avoid the risk after limiting fluid input.