CAJ | 학술논문

目的探讨硬膜外麻醉前进行膀胱功能训练及行为改变训练对患者术后出现尿潴留的影响,以及如何减少术后尿潴留的发生.方法将265例需在硬膜外麻醉下进行手术治疗的患者,随机分为实验组132例和对照组133例,实验组又分为术前1～2 d训练组、术前3～4 d训练组和术前5 d以上训练组,手术前进行膀胱功能训练和行为改变训练,对照组术前未进行任何训练.术后对2组患者出现尿潴留进行分析研究.结果实验组与对照组硬膜外麻醉术后出现尿潴留差异有统计学意义(P<0.01);术前进行膀胱功能训练和行为改变训练的时间长短与术后出现尿潴留差异有统计学意义(P<0.05).结论术前膀胱功能训练和行为改变训练有助于减少硬膜外麻醉术后出现尿潴留,且术前训练时间与术后尿潴留成反比,从而减少导尿带来的痛苦和尿路感染的机会.
목적 탐토경막외마취전진행방광공능훈련급행위개변훈련대환자술후출현뇨저류적영향,이급여하감소술후뇨저류적발생.방법 장265례수재경막외마취하진행수술치료적환자,수궤분위실험조132례화대조조133례,실험조우분위술전1～2 d훈련조、술전3～4 d훈련조화술전5 d이상훈련조,수술전진행방광공능훈련화행위개변훈련,대조조술전미진행임하훈련.술후대2조환자출현뇨저류진행분석연구.결과 실험조여대조조경막외마취술후출현뇨저류차이유통계학의의(P<0.01);술전진행방광공능훈련화행위개변훈련적시간장단여술후출현뇨저류차이유통계학의의(P<0.05).결론 술전방광공능훈련화행위개변훈련유조우감소경막외마취술후출현뇨저류,차술전훈련시간여술후뇨저류성반비,종이감소도뇨대래적통고화뇨로감염적궤회.
Objectives To investigate the effect of bladder function and behavior change training on urinary retention after epidural anesthesia and the method to decrease it. Methods 265 patients receiv-ing operation under epidural anesthesia were divided into two groups, the experimental group (132 cases) and the control group (133 cases). The experimental group was further divided into 3 groups: one to two days of training, 3 to 4 days of training and above 5 days of training preoperation. The experimental group carried out bladder function and behavior change training, but the control group never undertook any train-ing. After operation the data were analyzed. Results The incidence of urinary retention was significantly different between the experimental group and the control group (P<0.01);The time length of the training before operation aorrelated with incidence of urinary retention(P<0.05). Conclusions Bladder function and behavior change training contributed to decrease urinary retention after epidural anesthesia.The training time and incidence of urinary retention showed inverse proportion. This could decrease the opportunity of suffering from urethral catheterization and urinary tract infection.