下肢骨折病人术后尿潴留的原因分析及护理对策

Cause Analysis and Nursing Countermeasures for Postoperative Urinary Retention in Patients with Lower Limb Fracture

目的探讨下肢骨折病人术后尿潴留的原因及护理对策。方法对2013年1-12月下肢骨折病人术后发生尿潴留进行回顾性分析。选择2013年1-12月因下肢骨折采用手术治疗的108例病人,随机分为两组,观察组54例,对照组54例。对照组采用常规护理程序,观察组由责任护士采用综合护理干预方法。结果本组病人观察组发生尿潴留2例,对照组发生7例。观察组明显优于对照组,由此可见综合护理措施,能有效促进术后膀胱排尿功能的恢复,减少术后尿潴留的发生。结论综合护理干预能有效防治下肢骨折病人术后尿潴留。

Objective To analyze the causes and nursing countermeasures for postoperative urinary retention in patients with lower limb fracture. Methods From Jan. 2013 to Dec. 2013, a total of 108 patients with with lower limb fracture in our hospital were taken as the clinical research objects, and they were randomly divided into observation group （54 cases） and control group （54 cases）. The control group was given traditional nursing, and the study group was given comprehensive nursing by primary nurses. Results There were 2 cases of urine retention in the observation group and 7 cases of urine retention in the control group, the nursing effect in the observation group was obviously better than that in the control group. This shows that the comprehensive nursing can effectively promote the postoperative recovery of bladder voiding function and reduce the occurrence postoperative urinary retention. Conclusion Comprehensive nursing intervention can effectively prevent postoperative urinary retention in patients with lower limb fracture.