全身麻醉下腹腔镜精索静脉曲张高位结扎术后不留置尿管探索研究

发布时间：2018-07-01 11:00

  本文选题：留置尿管 + 护理　； 参考：《检验医学与临床》2016年24期

【摘要】：目的探讨全身麻醉下腹腔镜精索静脉曲张高位结扎术后是否需要留置尿管及其影响研究。方法收集2014年5月至2015年12月该院收治的男性精索静脉曲张患者110例作为研究对象,随机分为试验组(不留置尿管)和对照组(留置尿管),每组各55例。收集两组患者临床资料,术前、术后尿常规,泌尿系感染发生率,术后膀胱刺激征、尿潴留、血尿、尿道疼痛及伤口愈合等情况,并进行各项护理满意度研究和分析。结果与对照组相比,试验组患者在腹腔镜下精索静脉曲张高位结扎术后不留尿管能显著减低患者泌尿系感染率(10.90%vs.1.80%)、膀胱刺激征(89.10%vs.7.20%)、血尿(16.40%vs.0.00%)、Ⅰ级尿道疼痛(76.50%vs.1.81%)等发生率,差异均有统计学意义(P0.05),并且不增加患者术后尿潴留的风险率。在护理方面,腹腔镜下精索静脉曲张高位结扎术后不留置尿管能显著提高患者对护理服务态度、护理操作技术、尿道护理的满意度,并提高患者对护理满意度。结论全身麻醉下腹腔镜精索静脉曲张高位结扎术后不留置尿管能显著降低患者术后泌尿系感染、膀胱刺激征、血尿、尿道疼痛等发生率,并且能显著提高患者护理满意度。
[Abstract]:Objective to investigate the need and influence of indwelling catheter after laparoscopic high ligation of varicocele under general anesthesia. Methods 110 male varicocele patients treated in our hospital from May 2014 to December 2015 were randomly divided into two groups: the experimental group (without indwelling catheter) and the control group (55 cases in each group). The clinical data, preoperative and postoperative urinary routine, incidence of urinary tract infection, postoperative bladder irritation, urinary retention, hematuria, urethral pain and wound healing were collected. Results compared with the control group, the rate of urinary tract infection (10.90vs.1.80%), bladder irritation (89.10vs.7.20%), hematuria (16.40vs.0.00%) and grade 鈪，

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