宫颈癌患者术后早期拔除导尿管对尿路感染及术后康复的影响

Influence of Early Removal of Urinary Catheter after Operation on Urinary Tract Infection and Postoperative Rehabilitation in Patients with Cervical Cancer

目的探讨宫颈癌患者术后早期拔除导尿管对尿路感染及术后康复的影响。方法选取2019年1月至2022年1月我院收治的104例宫颈癌手术患者,以随机数表法分为试验组(术后1周拔除导尿管,52例)和对照组(术后2周拔除导尿管,52例),记录两组首次排尿等待时间与首次排尿量,测定两组排尿后残余尿量,统计两组尿路感染与尿潴留发生率以及尿管重置率,比较观察两组术后至下床活动时间与术后住院时间。以生命质量测定量表(QLQ-C30)评价两组的生活质量。结果试验组首次排尿等待时间、首次排尿量与尿液残余量同对照组差异无统计学意义(P>0.05)。试验组尿路感染发生率低于对照组,差异有统计学意义(P<0.05)。试验组尿潴留发生率与尿管重置率同对照组比较差异无统计学意义(P>0.05)。试验组术后住院时间均短于对照组,差异有统计学意义(P<0.05)。试验组干预后QLQ-C30评分高于对照组,差异有统计学意义(P<0.05)。结论宫颈癌术后早期拔除导尿管可以减少尿路感染,促进早期活动和康复,而且不增加尿潴留及尿管重置风险。

Objective To investigate the effect of early postoperative catheter removal on urinary tract infection and postoperative rehabilitation in patients with cervical cancer.Methods A total of 104 patients with cervical cancer surgery in our hospital from January 2019 to January 2022 were selected and randomly divided into an experimental group(with 52 cases of catheter removal 1 week after operation)and a control group(2 weeks after operation),the urinary catheter was removed,52 cases ,the waiting time for the first urination and the first urination volume were recorded in the two groups,the residual urine volume after urination in the two groups was measured,the incidence of urinary tract infection and urinary retention and the replacement rate of the urinary catheter in the two groups were compared and observed.The time from postoperative to getting out of bed and postoperative hospital stay in the two groups.The quality of life measurement scale QLQ-C30 to evaluate the quality of life in the two groups.Results There was no statistical difference between the experimental group and the control group in the waiting time for the first urination,the first urination volume and the residual urine volume(P>0.05).The incidence of urinary tract infection in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Compared with the control group,there was no significant difference in the incidence of urinary retention and urinary catheter repositioning between the experimental group and the control group(P>0.05).The postoperative hospital stay in the experimental group was shorter than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the QLQ-C30 score of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Early removal of urinary catheter after cervical cancer surgery can reduce urinary tract infection,promote early activity and recovery,and does not increase the risk of urinary retention and urinary catheter replacement.