单侧髋膝关节置换患者围术期不留置尿管的可行性研究

Feasibility of not placing urinary catheter during perioperative stage in patients receiving unilateral hip or knee arthroplasty

目的探讨腰麻下行单侧髋膝关节置换术患者不留置尿管的可行性。方法分析147例行单侧髋膝关节置换术患者的临床资料。将患者分为尿管组69例和无尿管组78例,比较两组尿潴留发生率,并对无尿管组尿潴留影响因素进行分析。结果两组术后尿潴留发生率比较,差异无统计学意义(P>0.05)。术后输液量是单侧髋膝关节置换术术后尿潴留的危险因素(P<0.05)。结论单侧髋膝关节置换患者术前无需常规留置尿管,但应控制术后输液量,以减少术后尿潴留发生风险。

Objective To evaluate the feasibility of not placing urinary catheter during perioperative stage in patients receiving unila-teral hip or knee arthroplasty.Methods A retrospective study was carried out to analyze 147 patients who received unilateral hip or knee arthroplasty. Based on whether or not to have received urinary catheter insertion, these patients were divided a catheter group of 69 cases, and a no-catheter group of 78 cases. Incidence rates of postoperative urinary retention between the 2 groups were compared, and factors contributing to urinary retention were explored.Results There was no significant difference in the incidence rates of postoperative urinary retention between the 2 groups(P>0.05).Postoperative fluid infusion volume was the only contributing factor of urinary retention(P<0.05).Conclusion There is no need to insert an urinary catheter before unilateral hip or knee arthroplasty.Postoperative fluid infusion volume should be controlled to mitigate the risk of urinary retention.