摘要
目的 探讨外科手术病人术前排尿练习对术后病人自主排尿的影响。方法 将2002年5月份在我院住院择期手术且行持续硬膜外麻醉术的胆囊切除病人80例随机分为A、B、C、D四组。其中,A组为术前训练1次组,B组为术前训练2次组,C组为术前训练3次组,D组为术前无训练组。观察指标 以病人术后是否自行排尿和行导尿为观察指标。结果 A组术后自行排尿6例,占30％;B组术后自行排尿15例,占75％;C组术后自行排尿17例,占85％;D组术后自行排尿4例,占20％。结论 择期手术且行持续硬膜外麻醉的胆囊切除病人术前排尿训练2次和3次的病人术后自主排尿的可能大于不训练和仅训练1次的病人,且两者存在显著性差异,前者较后者有较大临床优势。
Objective To study the effect of urination training before operation on autonomous urination of the surgical patients after operation. Methods 80 cases of cholecystectomy with continuous epidural anesthesia were divided randomly into four groups: A, B, C, and D. Patients in Group A received the training. once before operation, patients in Group B receive twice, Group C three times and Group D no training. Results 6 cases in Group A had autonomous urination, taking up 30% of the all; 15 cases in Group B,75% ;17 cases in Group C,85% ;4 cases in Group D,20% . Conclusion For patients of cholecystectomy with continuous epidural anesthesia, urination training twice or three times would be much more helpful to autonomous urination after operation than non-training or training once.
