CAJ | 학술논문

目的：探讨中老年患者行肝脏部分切除术后拔除导尿管的最佳时机,减少拔管后尿潴留的发生.方法将2011年9月至2012年12月符合纳入标准的第二军医大学东方肝胆外科医院特需一科收治的拟行肝脏肿瘤切除术的患者100例按随机数字表法分为术后48、60、72、84、96 h共5个研究组,分别于对应时间拔除导尿管,记录拔除导尿管后首次排尿时间、是否存在尿潴留、尿路感染情况等.结果不同组间拔除导尿管后首次解尿时间差异无统计学意义(F＝1．798,P＝0．312),不同拔管时间的尿潴留发生率差异有统计学意义(χ2＝17．443,P＝0．004),术后60 h组发生尿潴留的风险最低.结论对于行肝脏部分切除术后的中老年患者,术后60 h拔除导尿管发生尿潴留的风险最低.拔除前12 h 撤去镇痛泵,待膀胱充盈时拔管较为适宜.
목적：탐토중노년환자행간장부분절제술후발제도뇨관적최가시궤,감소발관후뇨저류적발생.방법장2011년9월지2012년12월부합납입표준적제이군의대학동방간담외과의원특수일과수치적의행간장종류절제술적환자100례안수궤수자표법분위술후48、60、72、84、96 h공5개연구조,분별우대응시간발제도뇨관,기록발제도뇨관후수차배뇨시간、시부존재뇨저류、뇨로감염정황등.결과불동조간발제도뇨관후수차해뇨시간차이무통계학의의(F＝1．798,P＝0．312),불동발관시간적뇨저류발생솔차이유통계학의의(χ2＝17．443,P＝0．004),술후60 h조발생뇨저류적풍험최저.결론대우행간장부분절제술후적중노년환자,술후60 h발제도뇨관발생뇨저류적풍험최저.발제전12 h 철거진통빙,대방광충영시발관교위괄의.
Objective To investigate the best timing of indwelling catheter for elderly patients undergoing liver resection,to reduce the incidence of urinary retention after extubation.Methods 100 patients were randomly divided into 5 groups,and time to extubate catheter in each group were 48 h,60 h,72 h,84 h,and 9 6 h postoperatively,respectively.Werecorded and analyzed the first micturition time after the catheter removed,the occurrence of urinary retention and urinary tract infection.Results There were no significant differences of the first micturition time between different groups(F=1.798,P=0.312),there were signifi-cant differences of the incidence of urinary retention between groups(χ2=17.443,P=0.004),the incidence of urinary retention in postoperative 60 h group is the lowest.Conclusion The incidence of urinary reten-tion in postoperative 60 h group is the lowest in patient undergoing hepatectomy,and it is appropriate to remove the analgesia pump 1 2 h before extubating catheter and wait until the bladder fulfilled.