间歇性导尿法联合卡孕栓对宫颈癌根治术后尿潴留的防治效果

Effect of Intermittent Catheterization Combined with Carboprost on Prevention and Treatment of Urinary Retention after Radical Hysterectomy

目的研究间歇性导尿法联合卡孕栓对宫颈癌根治术后尿潴留的防治效果。方法选择行宫颈癌根治术治疗的106例患者,随机分为2组。拔除尿管后,对照组采取间歇性导尿法治疗,观察组采取间歇性导尿法联合舌下含服卡孕栓治疗。比较2组的尿路感染和尿潴留发生率,术后留置尿管时间、膀胱残余尿量以及住院时间。结果 2组的尿路感染发生率无明显差异(P> 0. 05),观察组的尿潴留发生率明显低于对照组(P <0. 05);观察组拔管后首次排尿的时间> 3 h的发生率明显低于对照组的(P <0. 05);观察组术后留置尿管时间、膀胱残余尿量以及住院时间均明显低于对照组(P <0. 05)。结论间歇性导尿法联合卡孕栓对宫颈癌根治术后尿潴留具有较好的防治效果,有助于促进患者康复。

Objective To study the clinical effect of intermittent catheterization combined with carboprost on prevention and treatment of urinary retention after radical hysterectomy. Methods 106 cases of patients with radical hysterectomy were divided into 2 groups randomly. After catheter removal,the control group received intermittent catheterization and the observation group received intermittent catheterization combined with sublingual administration of carboprost. The incidence of urinary tract infection and urinary retention,postoperative indwelling catheter time,residual urine volume of bladder and hospitalization time were compared between the 2 groups. Results There was no significant difference in the incidence of urinary tract infection between the 2 groups( P > 0. 05). The incidence of urinary retention in the observation group was significantly lower than that of the control group( P < 0. 05). The incidence of the first voiding time > 3 hours after extubation in the observation group was significantly lower than the control group( P < 0. 05). The time of indwelling catheter,residual urine volume of bladder and hospitalization time in the observation group were significantly lower than those of the control group( P < 0. 05). Conclusion Intermittent urethral catheterization combined with carboprost for cervical cancer after radical resection of urinary retention has a good treatment effect,is conducive to promoting the rehabilitation of patients.