探究无痛分娩产时及产后留置尿管的价值

Exploring the value of indwelling urinary catheter during and after painless delivery

目的探究无痛分娩产时及产后留置尿管的临床应用价值,为留置尿管在无痛分娩中的临床应用提供参考。方法选取2019年1—12月在深圳宝安区妇幼保健院进行无痛分娩的产妇144例为研究对象,按随机数字表法将产妇分为对照组和观察组各72例。对照组进行无痛分娩后使用常规护理,该组产妇无法排尿时,给予一次性导尿;观察组无痛分娩后在常规护理基础上,给予留置尿管以避免多次导尿。观察两组产妇的尿路感染发生率、产后尿潴留发生率、再次导尿发生率及舒适程度。结果观察组尿路感染发生率为12.50%,高于对照组的4.17%,差异有统计学意义(P<0.05);观察组尿潴留发生率为2.78%,低于对照组的11.11%,差异有统计学意义(P<0.01);观察组再次导尿发生率为4.17%,低于对照组的43.06%,差异有统计学意义(P<0.01)。观察组舒适率为70.83%,低于对照组的90.28%,差异有统计学意义(P<0.01)。结论在无痛分娩中应用留置尿管能有效降低无痛分娩引起的尿潴留,但由于留置尿管是一种侵入性操作,会增加尿路感染风险和降低产妇舒适度,因此在临床应用中需关注尿路感染风险及产妇舒适度。

Objective To explore the clinical application value of indwelling urinary catheter during and after painless delivery,and to provide reference for clinical application of indwelling urinary catheter in painless delivery.Methods A total of 144 delivery women who underwent painless delivery at Shenzhen Bao'an District Maternal and Child Health Care Hospital from January to December 2019 were selected as the research subjects.According to the random number table method,delivery women were divided into control group and observation group,with 72 cases in each group.After painless delivery,the control group received routine nursing,and when the delivery women in this group were unable to urinate,they were given a one-time catheterization;after painless delivery,the observation group received indwelling catheter on the basis of routine nursing,in order to avoid multiple catheterization.The incidence of urinary tract infection,the incidence of postpartum urinary retention,the incidence of re-catheterization and comfort degree of delivery women in both groups were observed.Results The incidence of urinary tract infection of the observation group was 12.50%,which was higher than 4.17%of the control group,and the difference was statistically significant(P<0.05);the incidence of urinary retention in the observation group was 2.78%,which was lower than 11.11%in the control group,and the difference was statistically significant(P<0.01);the incidence of re-catheterization in the observation group was 4.17%,which was lower than that in the control group with 43.06%,and the difference was statistically significant(P<0.01).The comfort rate of the observation group was 70.83%,which was lower than that of the control group with 90.28%,and the difference was statistically significant(P<0.01).Conclusion The application of indwelling urinary catheter in painless delivery could effectively reduce urinary retention caused by painless delivery.However,because indwelling urinary catheter was an invasive operation,it would increase the risk of urinary tract infection and reduce the comfort degree of delivery women.Therefore,attention should be paid to the risk of urinary tract infection and comfort degree of delivery women in clinical application.