自我间歇导尿应用于妇科恶性肿瘤术后尿潴留的效果研究

Effect of intermittent self-catheterization on postoperative urinary retention after surgery for gynecologicalmalignant tumors

目的探讨自我间歇导尿在妇科恶性肿瘤术后发生尿潴留的应用效果。方法根据纳人标准选取本科2014年3月至2017年3月收治的恶性肿瘤术后发生尿潴留的患者56例，采取抛硬币的方法将病人随机分为研究组30例与对照组26例。研究组采用自我间歇导尿，对照组常规留置导尿，比较两组尿路感染发生率、残余尿量、使用尿管时间及患者舒适度。结果研究组尿路感染发生率（1周3.3％，2周6．7％）、残余尿量[1周（163．00±26．15）ml，2周（103．00±28．99）ml]、使用尿管时间[（18±1．14）d]均低于对照组，差异均有统计学意义（均P〈0．05）；研究组患者舒适度高于对照组，差异有统计学意义（P〈0．05）。结论自我间歇导尿有利于提高妇科恶性肿瘤尿潴留患者膀胱功能的恢复，保护肾功能，提高患者的生存质量及舒适度，值得临床推广。

Objective To study the effect of intermittent self-catheterization on urinary retention after surgery for gynecological malignant tumors. Methods Fifty-six patients with urinary retention after operation for malignant tumors treated at our hospotal from March 2014 to March 2017 were randomly divided into a study group （n = 30） and a control group （n = 26）. The study group were treated with intermittent self-catheterization and the control group conventional catheterization. The incidence of urinary tract infection, residual urine volume, urinary catheterization time, and patient comfort were compared between the two groups, Results The incidence of urinary tract infection （1 week 3.3%, 2 weeks 6.7%）, residual urine volume I1 week （163.00± 26.15） ml, 2 weeks （103.00 ± 28.99） ml], and urinary catheterization time [（18.00 ± 1.14） d] in the study group were lower than those in the control group, with statistical differences （all P 〈 0.05）. The patient comfort was higher in the study group than in the control group, with a statistical difference （P 〈 0.05）. Conclusions Intermittent self- catheterization is helpful to improve the recovery of bladder function in patients with urinary retention after surgery for gynecological malignant tumors, protect renal function, and improve the patients＇ quality of life and comfort, so it is worth being clinically generalized.