CAJ | 학술논문

目的：探讨剖宫产产妇术后留置尿管的适宜时间。方法将242例剖宫产产妇随机分成观察组和对照组，各组121例。观察组术后6～12 h患者主诉有尿意时拔除尿管，对照组按常规要求术后24 h拔除尿管。比较两组产妇首次下床切口疼痛程度、术后肛门排气时间、术后24 h出血量、自行排尿情况。结果两组产妇首次下床切口疼痛程度、术后24 h出血量、自行排尿情况比较差异无统计学意义（P＞0.05）。观察组肛门排气时间早于对照组（P＜0.01）。结论与常规剖宫产术后24 h拔除尿管相比较，6～12 h拔除尿管不会增加切口疼痛程度和24 h出血量，也不影响自行排尿，而且产妇拔除尿管后可早期下床活动，能促进术后排气，降低生殖道及尿道的感染风险，术后6～12 h拔除尿管较合适。
목적：탐토부궁산산부술후류치뇨관적괄의시간。방법장242례부궁산산부수궤분성관찰조화대조조，각조121례。관찰조술후6～12 h환자주소유뇨의시발제뇨관，대조조안상규요구술후24 h발제뇨관。비교량조산부수차하상절구동통정도、술후항문배기시간、술후24 h출혈량、자행배뇨정황。결과량조산부수차하상절구동통정도、술후24 h출혈량、자행배뇨정황비교차이무통계학의의（P＞0.05）。관찰조항문배기시간조우대조조（P＜0.01）。결론여상규부궁산술후24 h발제뇨관상비교，6～12 h발제뇨관불회증가절구동통정도화24 h출혈량，야불영향자행배뇨，이차산부발제뇨관후가조기하상활동，능촉진술후배기，강저생식도급뇨도적감염풍험，술후6～12 h발제뇨관교합괄。
Objective To determine the optimum time to extubate indwelling urinary catheters for post-cesarean section parturients. Methods Two hundred and forty-two parturients were equally divided into observation group and control group randomly with one hundred and twenty-one parturients in each group. Urinary catheters in observation group were extubated 6~12 hours after cesarean section when patients felt like urinating, while in control group, the catheter was extubated 24 hours after cesarean section. The two groups were compared in terms of incision pain when parturients got out of bed firstly, anal exhaust time after operation, 24 hours hemorrhage after operation, and voluntary micturition. Results There was no significant difference between two groups in the terms of incision pain, 24 hours hemorrhage, and voluntary micturition (P>0.05). Anal exhaust time of observation group was earlier than that of control group (P<0.01). Conclusion Extubation of catheter 6~12 hours after operation will not increase the degree of incision pain, 24 hours hemorrhage and voluntary micturition. Early ambulation of parturient after catheter extubation can promote postoperative exhaust and reduce the risk of infection of genital tract and urinary tract. Therefore, it is suitable to remove catheters 6~12 hours after cesarean section.