肺癌患者围手术期无痛性留置导尿管的前瞻性队列研究

发布时间：2018-02-22 20:54

本文关键词： 无痛性留置导尿管肺叶切除术肺癌　出处：《中国胸心血管外科临床杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的探讨肺叶切除术中在麻醉状态下(无痛性)留置尿管临床应用效果和优势。方法前瞻性纳入2014年4~12月在四川大学华西医院胸外科单个医疗组行肺癌肺叶切除术患者133例。根据手术结束患者麻醉苏醒前是否留置尿管留将患者分为对照组(68例,常规留置尿管)和试验组(65例,不留置尿管)。比较两组患者临床效果。结果对照组全身麻醉苏醒后诉尿道刺激和苏醒期躁动发生率(13.24%,26.47%)均高于试验组(3.08%,10.77%),且差异有统计学意义(P=0.041,P=0.022)。试验组术后尿潴留发生率(10.77%)与对照组(4.41%)的差异无统计学意义(P=0.403);试验组术后尿道感染发生率(9.23%)低于对照组(26.47%),差异有统计学意义(P=0.047)。试验组术后舒适度(0度,87.69%)优于对照组(48.53%),差异有统计学意义(P=0.001)。试验组术后平均住院时间(5.00±1.60)d短于对照组(6.48±3.14)d,差异有统计学意义(P=0.004)。结论肺癌围手术期无痛性尿管留置有助于改善患者的住院舒适度并促进快速康复。
[Abstract]:Objective to investigate the clinical application effect and advantage of indwelling urethral catheter in lobectomy under anaesthesia. Methods Lung cancer lobectomy was performed in a single medical group of thoracic surgery, Huaxi Hospital, Sichuan University from 2014 to December. 133 patients were divided into the control group (68 cases) according to whether the patients had retained urinary catheter before anaesthesia recovery. Routine indwelling urethral catheter) and test group (65 cases), Results the incidence of urinary irritation and restlessness during recovery of general anesthesia in the control group was 13.24 and 26.47) higher than that in the test group (3.08 and 10.7777), and the difference was statistically significant (P 0.041) and urine retention was observed in the test group. The incidence of urethral infection in the experimental group was 9.23) lower than that in the control group (26.47), the difference was statistically significant (P < 0.047). The postoperative comfort of the test group was 87.69. The difference was statistically significant, and the difference was statistically significant than that in the control group (48.53). The average hospitalization time of the trial group was 5.00 卤1.60 days shorter than that of the control group (6.48 卤3.14) days, the difference was statistically significant (P < 0.004). Conclusion painless urinary catheter indwelling during the perioperative period of lung cancer is helpful to improve the comfort of hospitalization and promote the rapid recovery of lung cancer patients.
【作者单位】：四川大学华西医院胸外科;
【基金】：四川省科技厅基金资助(2015 SZ 0158) 四川大学华西医院学科卓越发展1.3.5工程项目资助~~
【分类号】：R473.73

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