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find Keyword "留置尿管" 9 results
  • 全身麻醉下介入治疗低级别颅内动脉瘤术前不留置尿管的可行性研究

    目的 探讨颅内低级别(Hunt-Hess分级为0~Ⅲ级)动脉瘤患者在介入治疗围手术期不留置导尿管的可行性,为临床实践提供指导。 方法 2010年6月-2011年6月,对符合纳入标准的132 例颅内动脉瘤患者,术前经患者及家属知情同意并根据自愿原则,按是否留置导尿管分为两组。观察组(n=67)术前不安置尿管,对照组(n=65)则在全身麻醉下留置尿管,观察两组术中躁动对手术的影响及术后排尿情况。 结果 两组术中均未发生因尿急引起的躁动。术后观察组2 h内自行排尿58 例,2~4 h内排尿6例,需放置尿管3例(4%);对照组 24 h内拔出尿管52 例,其余24 h后拔出,最长留置12 d,3例出现肉眼血尿(4%),12例出现尿路感染(12%)。 结论 颅内低级别动脉瘤患者介入围手术期可不留置导尿,既可提高患者舒适度,又能较好降低泌尿道感染率。

    Release date:2021-06-23 07:35 Export PDF Favorites Scan
  • 舒泰用于手术患者全麻后留置尿管的效果观察

    目的 观察舒泰用于全麻后留置尿管的患者,在麻醉苏醒期躁动和术后尿管的舒适度情况。 方法 2009年11月-2010年3月将妇科腹腔镜手术患者180例分为观察组和对照组,各90例。全麻后,观察组以舒泰为润滑剂,对照组以碘伏为润滑剂,按常规操作留置尿管。比较两组患者麻醉苏醒期躁动和尿管舒适度情况。 结果 苏醒期躁动评分比较,观察组评分为0分者66例(73.33%), 对照组31例(34.44%) ;观察组评分为2、3分者5例,少于对照组的45例;置尿管舒适度比较,观察组舒适感为0度者60例(66.67%),对照组29例(32.22%);观察组Ⅱ、Ⅲ度者10例,少于对照组的49例。 结论 全麻后留置尿管时使用舒泰,可减少患者麻醉苏醒期出现躁动和留置尿管的不适感。

    Release date:2016-09-08 09:47 Export PDF Favorites Scan
  • 宫颈癌术后留置尿管出院患者自我护理需求调查

    【摘要】 目的 了解宫颈癌术后患者留置尿管出院后的自我护理需求,以便提供个性化的专业护理。 方法 2009年3月-2009年12月采用问卷方式,对110例宫颈癌术后留置尿管的出院患者进行自我护理需求调查,着重患者的尿管护理、盆底肌肉锻炼、取尿管测残余尿处置等相关知识与技能。 结果 回收问卷110份且均为有效问卷。调查显示,留置尿管出院患者多数希望获取有关留置尿管护理的专业知识和个性化指导,以满足自我护理需求。 结论 对留置尿管出院患者进行相关知识宣教和护理技能指导,可提高自我护理的能力,安全渡过留置尿管期。

    Release date:2016-09-08 09:51 Export PDF Favorites Scan
  • Application of Suprapubic Catheterization by Using Central Venous Catheter in Middle and Low Rectal Cancer Surgery

    ObjectiveTo investigate the effect of suprapubic catheterization(SPC) by using central venous catheter (CVC) on the perioperative complications in middle and low rectal cancer surgery. MethodsThe clinical data of 141 patients with middle and low rectal cancer underwent operation in Shengjing Hospital of China Medical University from April 2012 to January 2015 were collected. There were 65 patients performed SPC by using CVC, 76 patients performed routine transurethral catheterization(TUC). The incidences of bacteriuria and urinary retention, recatheterization rate, duration of catheterization, and catheter-related pain were analyzed and compared between these two groups. Results①Compared with the TUC, the SPC by using CVC could significantly reduce the incidence of bacteriuria(P=0.002), espe-cially in female(P=0.006), ≥60 years old(P=0.001), low rectal cancer(P=0.003), open surgery(P=0.018), Miles(P=0.016), and Dixon(P=0.032).②There was no significant difference in the incidence of urinary retention(P=0.464) between the SPC by using CVC and the TUC.③Compared with the TUC, the SPC by using CVC could significantly reduce the inci-dence of recatheterization rate(P=0.001), especially in the patients with male(P=0.016), ≥60 years old(P=0.008), low rectal cancer(P=0.019), laparoscopic surgery(P=0.013), and Miles(P=0.037).④Compared with the TUC, the point of catheter-related pain was significantly lower in the SPC by using CVC(P=0.001), no matter males(P=0.005) or females(P=0.010), aged 60 years and older(P=0.023) or younger(P=0.034), middle rectal cancer(P=0.017) or low rectal cancer(P=0.046), open surgery(P=0.033) or laparoscopic surgery(P=0.021), Dixon(P=0.019) or Miles(P=0.035).⑤The duration of catheterization was similar between the SPC by using CVC and the TUC(P=0.597). ConclusionSPC by using CVC is a safer, more effective and more acceptable method of bladder drainage in middle and low rectal cancer surgery as compared with routine TUC.

    Release date:2021-06-24 01:08 Export PDF Favorites Scan
  • Safety and feasibility of preoperative non-indwelling catheter in primary unilateral total knee arthroplasty without tourniquet

    Objective To investigate the safety and feasibility of preoperative non-indwelling catheter in primary unilateral total knee arthroplasty (TKA) without tourniquet . Methods From January 2016 to January 2017, a total of 60 patients undergoing primary unilateral TKA surgery were randomly divided into preoperative non-indwelling catheter group (group NIC, n=30) and indwelling catheter group (group IC, n=30) . The patients in group NIC were not retained catherter, and the patients in group IC were retained catherter. All patients did not use tourniquet. The time of first urination, the volume of first urination, and the occurrence of urine retention, urinary irritation symptoms and urinary tract infection of patients in two groups were analyzed. The incidence of venous thrombosis of the lower extremity was also recorded. Results There were statistical differences (P<0.05) between group NIC and group IC in the time of first urination [(3.2±0.6) vs. (4.5±1.8) hours] and urine volume [(262.5±29.4) vs. (391.6±50.2) mL], but there was no significant difference (P>0.05) between the two groups in urinary retention (6.7% vs. 16.7%), urinary tract irritation (33.3% vs. 23.3%), or urinary tract infection (0.0% vs. 16.7%). Conclusion Preoperative non-indwelling catheter in primary unilateral TKA without tourniquet is safe and feasible.

    Release date:2017-07-21 03:43 Export PDF Favorites Scan
  • Risk factors for postoperative indwelling catheter following enhanced recovery after total knee arthroplasty

    ObjectiveTo evaluate the risk factors for postoperative indwelling catheter following enhanced recovery after primary unilateral total knee arthroplasty (TKA) under general anesthesia.MethodsPatients who underwent primary unilateral TKA under general anesthesia between January 2017 and August 2018 were enrolled in the study. Among them, 205 patients who met the selection criteria were included in the study, and the clinical data were collected, including gender, age, body mass index, preoperative range of motion, Hospital for Special Surgery (HSS) score, American Society of Anesthesiologists (ASA) score, disease type, comorbidity, hemoglobin, hematocrit, blood volume, length of operation and operation time, whether to keep drainage after surgery, intraoperative blood loss, total blood loss, and preoperative, intraoperative, postoperative fluid infusions, and total fluid infusion on the day of surgery, urine volume on the day of surgery. Univariate analysis and logistic regression analysis were used to screen the risk factors for postoperative indwelling catheter. Length of stay and incidences of complications (intermuscular vein thrombosis, deep vein thrombosis, pulmonary embolism, incision swelling and exudation, electrolyte disorder, nausea and vomiting, and urinary tract infection) were compared between the patients with or without indwelling catheter.ResultsIndwelling catheter occurred in 41 (20%) of 205 patients. Single factor analysis showed that the influence factors were age, gender, keeping drainage after surgery, total fluid infusion and urine volume on the day of surgery (P<0.05). The multiple factors analysis showed that the males and more urine volume on the day of surgery were the significant risk factors for indwelling catheter after primary TKA (P<0.05). In addition, postoperative length of stay was shorter and the incidence of urinary tract infection was lower in non-indwelling catheter group than in indwelling catheter group, showing significant differences (P<0.05).ConclusionThe male patients with more urine on the day of surgery have higher risk for indwelling catheter after primary unilateral TKA under general anesthesia with an enhanced recovery program.

    Release date:2020-04-15 09:18 Export PDF Favorites Scan
  • Risk factors of indwelling urinary catheter in hospitalized patients receiving thoracoscopic lobectomy

    ObjectiveTo investigate the occurrence of indwelling urinary catheter in patients receiving thoracoscopic lobectomy and relevant risk factors.MethodsWe retrospectively reviewed the clinical data of the 737 patients who received thoracoscopic lobectomy in our hospital and analyzed the risk factors of indwelling urinary catheter during postoperative hospitalization using univariate analysis and multiple-variate logistic regression analysis between December 2018 and May 2019. There were 253 males and 484 females at median age of 57 (50, 64) years.ResultsA percentage of 14.4% (106/737) of the patients adopted postoperative indwelling urinary catheter. Univariate regression analysis showed that gender and postoperative bedridden time were risk factors for indwelling urinary catheter in the patients after thoracoscopic lobectomy (P<0.05). Multiple-variate logistic regression analysis showed that male gender (OR=2.018, 95% CI 1.316-3.096, P<0.001) and postoperative bedridden time >18 hours (OR=2.298, 95%CI 1.502-3.516, P<0.001) were the independent risk factors for indwelling urinary catheter.ConclusionMale gender and those with longer postoperative bedridden time are high-risk population to indwell urinary catheter. Positive measures should be taken to reduce the chance of indwelling urinary catheter.

    Release date:2020-07-30 02:16 Export PDF Favorites Scan
  • Risk factors for postoperative retention of urinary catheters in patients with lung tumors under concept of enhanced recovery after surgery: A case-control study

    ObjectiveTo explore the independent risk factors for postoperative retention of urinary catheters in the ward of lung tumor patients due to urinary retention under the concept of enhanced recovery after surgery (ERAS).MethodsSeventy-five patients with lung tumors who had urinary catheters left in the postoperative ward between June 2019 and August 2019 were selected as a case group, and 75 patients with lung tumors who did not have urinary catheters in the perioperative period as a control group. Independent risk factors for indwelling urinary catheters in the postoperative ward were screened by univariate and multiple-variate logistic stepwise regression analysis.ResultsThere were 45 males and 30 females in the case group with an average age of 55.33±10.78 years, 28 males and 47 females in the control group with an average age of 57.12±10.06 years. Univariate analysis showed that gender, operative time>2 h, intraoperative fluid volume≥1 200 mL, and fluid volume within 6 h of returning to the ward after surgery>1 200 mL were associated with the occurrence of indwelling urinary catheters in patients with lung tumors in postoperative wards (P<0.05). Multiple-variate logistic regression showed that male (OR=2.311, 95%CI 1.173-4.552, P=0.015), infusion volume within 6 h of returning to the ward after surgery>1 200 mL (OR=2.491, 95%CI 1.149-5.401, P=0.021) and intraoperative infusion volume≥1 200 mL (OR=2.105, 95%CI 1.022-4.340, P=0.044) were independent risk factors for postoperative retention of urinary catheters in patients with lung tumors.ConclusionThe occurrence of indwelling urinary catheter in lung tumor patients under the ERAS concept is the result of a combination of factors, and patients who are male, have infusion volume>1 200 mL within 6 h of returning to the ward after surgery, and have intraoperative infusion volume≥1 200mL are the high-risk group for postoperative ward indwelling urinary catheter, and health care personnel should strengthen the assessment and observation, provide targeted health education, appropriately control the perioperative fluid volume, and take other measures to reduce the occurrence of indwelling urinary catheters due to urinary retention postoperatively in ward.

    Release date:2021-07-28 10:02 Export PDF Favorites Scan
  • Effect of clamping catheter and free drainage for patients with neurogenic bladder with indwelling catheter: a meta-analysis

    ObjectiveTo systematically review the effect of clamping catheter and free drainage for patients with neurogenic bladder with indwelling catheter. MethodsThe PubMed, EMbase, CINAHL, EBSCO, Cochrane Library, CBM, CNKI, VIP and WanFang Data databases were electronically searched to collect randomized controlled trials (RCTs) related to the objects from inception to January 8, 2022. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. Meta-analysis was then performed by using RevMan 5.3 software. ResultsA total of 7 RCTs involving 586 patients were included. Meta-analysis showed that clamping catheter significantly reduced time of first void (SMD=−1.03, 95%CI −1.71 to −0.36, P=0.03) and increased volume of first void (MD=52.72, 95%CI 28.84 to 76.59, P<0.01). However, there was no significant difference in residual urine volume, incidence of urinary retention or urinary tract infection between the two groups. ConclusionCurrent evidence shows that the advantage of clamping catheter for patients with neurogenic bladder with indwelling catheter is not obvious. Due to the limited quality and quantity of the included studies, more high quality studies are needed to verify the above conclusion.

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