神经肌肉电刺激干预对妇科阴式手术后尿潴留的影响

Effect of neuromuscular electrical stimulation intervention on urinary retention after gynecological vaginal surgery

目的探讨神经肌肉电刺激干预对妇科阴式手术后尿潴留的影响。方法选取接受阴式全子宫切除术+阴道前后壁修补术的90例患者,随机分为对照组、试验A组、试验B组,各30例。对照组给予常规护理干预,试验A、B组在常规护理的基础上分别于导尿管拔除前、拔除后进行神经肌肉电刺激干预。观察三组患者的膀胱功能恢复情况,并比较其尿潴留发生率、尿管留置时间、正常排尿时间、住院时间、尿路感染发生率及满意度情况。结果试验A组、试验B组膀胱功能恢复情况优于对照组,尿潴留发生率、尿路感染发生率低于对照组,满意度高于对照组,尿管留置时间、正常排尿时间、住院时间均短于对照组(均P<0.05)。试验A组和试验B组上述指标比较,差异均无统计学意义(均P>0.05)。结论妇科阴式手术后应用神经肌肉电刺激干预,可缩短尿管留置时间,促进膀胱功能恢复,减少术后尿潴留发生,值得临床推广应用。

Objective To investigate the effect of neuromuscular electrical stimulation intervention on urinary retention after gynecological vaginal surgery.Methods Ninety patients receiving total vaginal hysterectomy and anterior and posterior colporrhaphy were selected and randomly divided into control group,experimental groups A and B,with 30 cases in each group.The control group was administered routine nursing intervention,based on routine nursing intervention,the experimental groups A and B received neuromuscular electrical stimulation intervention before and after urethral catheter removal,respectively.The bladder function recovery of the three groups was observed,and their incidence rates of urinary retention,urethral catheter indwelling time,normal urination time,hospital stay,incidence rate of urinary tract infection,and satisfaction degree were compared.Results In comparison with the control group,the experimental groups A and B yielded superior bladder function recovery,lower incidence rates of urinary retention and urinary tract infection,higher satisfaction degree,shorter urethral catheter indwelling time,normal urination time and hospital stay(all P<0.05).There were no statistically significant differences in the indicators mentioned above between the experimental groups A and B(all P>0.05).Conclusions Neuromuscular electrical stimulation intervention after gynecologic vaginal surgery can shorten urethral catheter indwelling time,promote bladder function recovery and reduce the incidence of postoperative urinary retention,which is worthy of clinical promotion and application.