CAJ | 학술논문

目的探讨腹腔镜肾上腺术后患者拔除尿管的最佳时机。方法将行腹腔镜肾上腺肿物切除术的患者按照术后拔除尿管的时间分为A组(6 h)，B组( 12 h)和C组（常规组），每组均选取20例患者。比较3组患者拔除尿管后的主观感觉、不良反应、术后卧床和禁食水的时间。结果 A组和B组菌尿发生率分别为35％和30％，均低于C组的85％，差异具有统计学意义(F=14.80，P=0.000)，A组和B组血尿的发生率分别为25％和10％，均低于C组80％的发生率，差异具有统计学意义(F =22.98,P =0.000)。结论术后6～12h是腹腔镜肾上腺手术拔除尿管的最佳时机。可以在保证患者安全的前提下，降低血尿及菌尿的发生机率，促进患者术后恢复，促进患者舒适，减少患者住院费用，减少护理工作量，提高护理工作效率。
목적 탐토복강경신상선술후환자발제뇨관적최가시궤。방법 장행복강경신상선종물절제술적환자안조술후발제뇨관적시간분위A조(6 h)，B조( 12 h)화C조（상규조），매조균선취20례환자。비교3조환자발제뇨관후적주관감각、불량반응、술후와상화금식수적시간。결과 A조화B조균뇨발생솔분별위35％화30％，균저우C조적85％，차이구유통계학의의(F=14.80，P=0.000)，A조화B조혈뇨적발생솔분별위25％화10％，균저우C조80％적발생솔，차이구유통계학의의(F =22.98,P =0.000)。결론 술후6～12h시복강경신상선수술발제뇨관적최가시궤。가이재보증환자안전적전제하，강저혈뇨급균뇨적발생궤솔，촉진환자술후회복，촉진환자서괄，감소환자주원비용，감소호리공작량，제고호리공작효솔。
Objective To investigate the optimal time to remove the urinary catheter in patients undergoing laparoscopic adrenalectomy. MethodsPatients undergoing laparoscopic adrenalectomy were assigned to group A (6 h), group B ( 12 h), group C ( normal control group) with 20 cases in each. Subject feeling, adverse reactions, postoperative bed time and days of absolute diet were compared. Results The incidence of bacteriuria in group A (35％) and B (30％) were significantly lower than that of group C (85％)(F=14. 80, P =0. 000). The incidence of hematouria in group A (25％) and B (10％) were also significantly lower than that of group C ( 80％ ) ( F =22. 98, P =0. 000). Conclusions 6 - 12 hours after laparoscopic adrenalectomy are the optimal time to remove the catheter. In this manner, it can reduce the incidence of bacteriuria and hematouria, promote the postoperative recovery, thus to reduce the cost of hospitalization and improve the nursing work efficiency.