留置尿管早期夹闭对胃癌患者术后排尿情况的影响研究

发布时间：2018-11-01 16:15

【摘要】：目的探讨早期夹闭导尿管对胃癌术后患者术后排尿情况的影响。方法选取2014年1月至2014年8月之间,吉林大学白求恩第一医院胃结直肠外科收治的胃癌根治术后患者,符合纳入标准共132例,随机分为实验组及对照组,实验组随机分为术后立即夹闭尿管组、术后6小时夹闭尿管组。将符合纳入标准的病例按照随机对照方法分为实验A组(术后立即夹闭尿管组)、实验B组(术后6小时夹闭尿管组)、对照组,比较各组间患者的性别、年龄、胃癌临床分期、精神紧张程度、术后液体摄入量、拔除尿管后第一次排尿时间、拔除尿管后初次排尿时的排尿状况及小腹症状、尿流率、排尿后舒适程度和尿培养阳性率。结果比较各组间患者的性别、年龄、胃癌临床分期、精神紧张程度、术后液体摄入量分别经t检验和X2检验处理,无显著性差异(P0.05),具有可比性。拔除尿管后至首次排尿时间、拔除尿管后首次排尿情况、拔除尿管后首次排尿小腹症状、尿培养结果,经非参数检验,实验A组与对照组及实验B组与对照组,组间比较均有显著性差异(P0.05),实验A组与实验B组间无显著性差异(P0.05)。拔除尿管后首次排尿持续时间、尿流率积分进行比较,经非参数检验,实验A组及实验B组均显著优于对照组(P0.05),且实验A组显著优于实验B组(P0.05)。结论胃癌术后早期夹闭尿管可以显著缩短拔除尿管后至首次排尿时间、改善拔除尿管后首次排尿情况和小腹症状、减少尿培养的阳性发生率,而越早夹闭尿管则有助于改善胃癌术后患者拔除尿管后首次排尿持续时问和尿流率。
[Abstract]:Objective to investigate the effect of early urethral entrapment on postoperative urination in patients with gastric cancer. Methods between January 2014 and August 2014, 132 patients with gastric cancer treated in the first Hospital of Bethune of Jilin University after radical gastrectomy were randomly divided into experimental group and control group. The experimental group was randomly divided into two groups: immediately after operation and 6 hours after operation. The patients who met the inclusion criteria were randomly divided into experimental group A (immediately after operation), experimental group B (6 hours after operation) and control group. The sex and age of the patients were compared. Clinical stage of gastric cancer, degree of mental stress, postoperative fluid intake, first time of urination after extubation, condition of urination and symptoms of abdomen, urine flow rate, comfortable degree after urination and positive rate of urine culture after extubation. Results there were no significant differences in sex, age, clinical stage of gastric cancer, degree of mental stress and postoperative fluid intake by t test and X 2 test (P0.05). The time from extubation to first urination, the first time of urination after extubation, the symptom of first voiding abdomen, the result of urine culture, the experimental group A and the control group and the experimental group B and the control group were tested by non-parametric test. There was significant difference between the two groups (P0.05), but there was no significant difference between Group A and Group B (P0.05). The first time of urination and the integral of urinary flow rate were compared after extubation. By non-parametric test, experimental group A and experimental group B were significantly better than control group (P0.05), and group A was significantly better than group B (P0.05). Conclusion early entrapment of urinary catheter after operation of gastric cancer can significantly shorten the time from extubation to first urination, improve the first urination and abdominal symptoms after extubation, and reduce the positive rate of urine culture. The earlier the catheter is clipped, the better the rate of urine flow and the first continuous urination after extubation of gastric cancer.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.73

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