主动膀胱功能训练对剖宫产术后患者尿潴留和尿路感染的影响

Effect of initiative bladder function training on uroschesis and urinary tract infections after caesarean section

目的探讨主动膀胱功能训练预防剖宫产术后尿路感染的效果。方法选取200例剖宫产且留置导尿产妇为研究对象,按照入院时间分为观察组和对照组,每组各100例。对照组患者给予被动膀胱功能训练,观察组患者采用主动膀胱功能训练。比较两组患者术后尿路感染、拔管后首次排尿时间、残余尿量及排尿效果。结果观察组患者术后尿路感染发生率、残余尿量较对照组少、拔管后首次排尿时间较对照组短、首次排尿效果优于对照组,两组比较,差异具有统计学意义(均P<0.05)。结论采用腹肌锻炼联合提肛运动对剖宫产产妇留置导尿期间进行主动性膀胱功能训练,可有效促进膀胱功能恢复,减少尿潴留,降低术后尿路感染。

Objective To evaluate the effect of initiative bladder function training on uroschesis and urinary tract infections after caesarean section. Methods Toally 200 puerperas with caesarean section and indwelling catheter were divided into observation group and control group, 100 cases in each group. The control group was given passive bladder function training, and the observation group was given initiative bladder function training. The two groups were compared in terms of postoperative infections in the urinary tract, time for first micturition, residual urine volume and micturition effect. Result After intervention, the rate of urinary tract infections in the observation group was lower than that of the control one, the time for and effect of first micturition were shorter and better than those of in the control group, the residual urine volume was shorter（P〈0.05）. Conclusion The initiative bladder function training by exercising abdominal muscle combined with levator ani muscle exercise can effectively promote the recovery of bladder function and reduce uroschesis and the rate of postoperative urinary tract infections.