间歇性清洁导尿在广泛全子宫切除术后的应用时效研究

Efficacy study of intermittent clean catheterization after extensive total hysterectomy

目的分析在广泛全子宫切除术患者的临床上采取不同干预方案对其预后的效果。方法选取66例宫颈癌患者,患者均给予广泛全子宫切除术治疗,采取随机数字表法分为两组,每组33例。对照组采用常规导尿管理模式,研究组采用间歇性清洁导尿管理。对比两组患者的并发症发生情况、自解小便时间、干预前后生活质量评分及术后不同时间段的膀胱残余尿量。结果研究组术后并发症发生率3.03%显著低于对照组的18.18%(P<0.05)。研究组患者的自解小便时间较对照组显著缩短(P<0.05)。干预后,研究组生活质量评分显著高于对照组(P<0.05)。术后7d两组患者的膀胱残余尿量比较差异无统计学意义(P>0.05);术后21d,研究组膀胱残余尿量较对照组显著减少(P<0.05)。结论在宫颈癌患者实施广泛全子宫切除术后,采取间歇性清洁导尿的干预方式,可促进其膀胱功能的快速恢复,提高生活质量,值得临床推广。

Objective To analyze the effect of different clinical interventions on the prognosis of patients with extensive total hysterectomy.Methods 66 patients with cervical cancer were selected and given extensive total hysterectomy.They were divided into two groups with 33 cases in each group by random number table method.The control group adopted conventional catheterization management mode,and the study group adopted intermittent clean catheterization management mode.The incidence of complications,time of spontaneous urination,quality of life score before and after intervention and residual urinary volume of bladder in different time periods were compared between the two groups.Results The incidence of postoperative complications in the study group was 3.03%significantly lower than that in the control group(18.18%)(P<0.05).The time of spontaneous urination in the study group was significantly shorter than that in the control group(P<o.05).After intervention,the quality of life score of the study group was significantly higher than that of the control group(P<0.05).There was no significant difference in residual urinary volume of bladder between the two groups at 7 days after operation(P>0.05).After 21 days of operation,the residual urinary volume of the study group was significantly reduced compared with that of the control group(P<0.05).Conclusion After extensive total hysterectomy for cervical cancer patients,intermittent cleaning and catheterization can promote the rapid recovery of bladder function and improve their quality of life,which is worthy of clinical promotion.