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find Keyword "尿潴留" 10 results
  • 成人膀胱多发憩室并憩室内结石一例

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 间歇导尿技术控制脊髓损伤尿潴留患者尿路感染的疗效观察

    【摘要】 目的 总结间歇导尿技术控制脊髓损伤尿潴留患者尿路感染的临床疗效。 方法 2003年4月-2008年6月对80例脊髓损伤尿潴留患者随机设立对照组与治疗组进行研究。 结果 应用间歇导尿技术治疗组1、2、3、4周时尿路感染例数分别为1、2、3、3例,使用保留尿管对照组1、2、3、4周时尿路感染例数分别为5、8、12、14例,2周时治疗组尿路感染率较对照组低,有统计学意义(Plt;0.05)。 结论 间歇导尿技术可明显降低脊髓损伤尿潴留患者尿路感染率,减少患者对医务人员的依赖性,提高其生活独立性,有利于患者早日重返社会。

    Release date:2016-09-08 09:50 Export PDF Favorites Scan
  • Clinical Application of Harnal in Prevention of Urinary Retention after Abdominal Operation

    目的探讨哈乐预防腹部手术后尿潴留的临床价值。方法哈乐组于拔尿管前1 d开始用哈乐0.2 mg,1次/d,3~5 d; 对照组未予特殊药物治疗。比较2组的尿潴留发生率、尿路感染发生率、住院时间和副作用。结果哈乐组未发生尿潴留,对照组尿潴留发生率为28%,差异有统计学意义(P<0.05)。哈乐组无一例发生尿路感染,对照组有5例(20%),2组间差异无统计学意义(Pgt;0.05)。哈乐组术后平均住院时间为(10.7±3.3) d,对照组为(11.6±3.0) d,2组间差异亦无统计学意义(Pgt;0.05)。 结论哈乐可明显减少尿潴留的发生率,是预防腹部手术后尿潴留的有效药物。

    Release date:2016-09-08 11:52 Export PDF Favorites Scan
  • 骨科老年患者术后尿潴留护理干预及原因分析

    目的探讨骨科老年患者术后发生尿潴留的护理方法及原因。 方法对2012年3月-8月收治的314例老年患者,在围手术期采用各种针对性的干预措施,积极预防及减少术后尿潴留的发生,对术后发生尿潴留的老年患者,分别采用个体化的心理诱导、音乐诱导、热敷法、灌肠法等手段予以导尿护理。 结果34例患者术后发生尿潴留,发生率为10.83%。经各种护理措施干预,33例患者症状较快缓解,可自行排尿,另1例采用不保留导尿也逐渐恢复排尿功能。 结论对骨科老年患者采取针对性的护理干预措施,能有效降低术后尿潴留的发生。

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  • The Clinical Effect of Glycerine Enema on Patients with Urinary Retention after Coronary Intervention

    ObjectiveTo investigate the effect of Glycerine Enema on patients with urinary retention after coronary interventional procedures. MethodsBetween October 2011 and October 2012, 100 patients with urinary retention after coronary intervention were randomized into experimental group (enema group) and control group (conventional treatment group). The clinical effect of the two methods were compared between the two groups. ResultsThe effective rate in the experimental group was 88.0% while in the control group was 54.0%, and the difference between the two groups was statistically signifi cant (P<0.05). ConclusionThe effect of Glycerine Enema on patients with urinary retention after coronary intervention is obvious and signifi cant.

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  • 艾灸穴位预防痔瘘术后尿潴留的疗效观察

    目的探讨痔瘘手术后预防尿潴留的方法。 方法将2012年1月-12月收治的976例痔瘘手术患者随机分为两组,每组488例。对照组采用中西医结合科痔瘘术后护理常规,干预组在此基础上于术后2 h采用艾灸长强穴、腰腧穴20 min,观察两组患者术后4、8 h内自行排尿以及发生尿潴留情况。 结果干预组8 h内自行排尿456例,占93.4%,其中4 h内排尿351例,占71.9%,发生尿潴留需安置保留尿管者48例,占9.8%;对照组8 h内自行排尿399例,占81.7%,其中4 h内排尿278例,占57.0%,尿潴留需安置保留尿管者89例,占18.2%,两组差异有统计学意义(P<0.05)。 结论痔瘘术后患者采用艾灸穴位,能有效地预防尿潴留的发生。

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  • 呋塞米对脊柱手术患者拔除尿管后尿潴留的影响

    目的总结呋塞米对脊柱手术患者拔除尿管后发生尿潴留的影响。 方法对2013年8月-2014年2月行脊柱手术拔除尿管后发生尿潴留症状且采用热敷膀胱区、温水冲洗会阴部、按摩下腹部、听流水声等促进排尿的护理干预措施后仍存有尿潴留现象的46例患者,给予静脉推注呋塞米协助排尿,观察呋塞米的排尿效果。 结果46例经护理干预后仍未排尿者经静脉推注呋塞米后5~15 min,45例自解小便,药物干预有效率达97.8%;1例30 min内未解小便者再次安置尿管,3 d后拔除尿管自解小便。46例患者静脉推注呋塞米后均无不良反应。 结论呋塞米疗法能有效降低脊柱手术患者拔除尿管后、经护理干预仍存在的尿潴留发生率,能较好减轻患者的痛苦,减少泌尿系统感染,值得临床推广。

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  • Clinical Effect of Postoperative No Indwelling Urethral Catheters after Pulmonary Lobectomy: A Prospective Cohort Study

    ObjectiveTo evaluate the effect of postoperative no indwelling urethral catheters in lung operation. MethodsIn this prospective cohort study, we recruited 100 patients who were scheduled for pulmonary lobectomy under general anesthesia in a single institution of Thoracic Surgery Department in West China Hospital between April and December 2014. These patients were divided into two groups including a no indwelled urethral catheter group (NIUC, 50 patients) and an indwelled urethral catheter group (IUC, 50 patients). The clinical effect was compared between the two groups. ResultsThere was no statistical difference in incidence of postoperative urinary retention or urinary tract infection between the two groups (P=0.433, 0.050). However, the comfort degrees(0 degree) of patients in the NICU group was significantly higher than that of the ICU group with a statistical difference (P=0.002). While postoperative hospitalization time in the NICU group (P=0.023) was shorter than that in the ICU group (P=0.004). Prostatic hyperplasia was the high risk factor for the lung postoperative urinary retention (P=0.056). ConclusionPostoperative no indwelling urethral catheters in lung operation has the benefit of improving the comfort degrees of inpatients and increasing the postoperation urinary retention.

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  • Risk Factors of Postoperative Urinary Retention without Perioperative Urinary Catheterization after Video-assisted Thoracoscopic Surgery Lobectomy

    Objective To investigate the risk factors of postoperative urinary retention of non-small cell lung cancer patients undergoing video-assisted thoracoscopic surgery (VATS) lobectomy without indwelling urinary catheterization. Methods In this prospective trial, we recruited 148 patients who were scheduled for lung cancer lobectomy under general anesthesia by VATS in Department of Thoracic Surgery in West China Hospital from July through December 2015. These patients were divided into two groups including a trial group and a control group. There was no indwelled urethral catheter in the trial group. And the patients in the control group were indwelled urethral catheter routinely. Postoperative urinary retention, urinary tract infection, the postoperative hospitalization duration and the clinical data were recorded. Results There was no significant difference between the trial group and the control group in postoperative urinary retention (9.46% vs. 6.76%, P=0.087). However, the ratios of the male patients and the patients with history of abdomen operation, and international prostate symptom score (IPSS) of the urinary retention patients (83.33%, 33.33%, 26.55±7.00) were statistically higher than those of the patients without urinary retention (56.62%, 0.00%, 15.31±8.31, P=0.017, P=0.000, P=0.031). Postoperative urinary tract infection rates in the trial group and the patients with urinary retention (4.05%,25%) were statistically higher than those in the control group and the patients without urinary retention (1.35%, 0.74%, P=0.049, P=0.048). Conclusion The risk factors of postoperative urinary retention patients with non-small cell lung cancer undergoing VATS lobectomy are male patients, history of abdomen operation, and moderate to severe hyperplasia of prostate.

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  • Incidence and risk factors of postoperative urinary retention in patients undergoing hip or knee arthroplasty: a meta-analysis

    Objective To systematically review the incidence and risk factors of postoperative urinary retention (POUR) in patients undergoing hip or knee arthroplasty, and provide a theoretical basis for medical staff to assess and identify high-risk groups in advance. Methods PubMed, Embase, the Cochrane Library, Medline, China National Knowledge Infrastructure, Wanfang Data, VIP database, and SinoMed were electronically searched from the establishment of the databases to January 2023, for literature on the incidence and risk factors of POUR in patients undergoing hip or knee arthroplasty. Two researchers independently screened studies, extracted data, and assessed study quality. Meta-analysis was performed using Stata 14.0 software. Results A total of 21 articles were included, including 9041 patients undergoing hip or knee arthroplasty. The results of meta-analysis showed that the incidence of POUR in patients undergoing hip or knee arthroplasty was 26% [95% confidence interval (CI) (19%, 32%)]. Age [odds ratio (OR)=1.03, 95%CI (1.00, 1.05), P=0.03], male [OR=2.68, 95%CI (1.72, 4.18), P<0.001], infusion volume [OR=2.17, 95%CI (1.08, 4.35), P=0.030], spinal anesthesia [OR=1.72, 95%CI (1.29, 2.30), P<0.001], history of urinary retention/urethral stricture [OR=1.84, 95%CI (1.35, 2.49), P<0.001], use of analgesic pump [OR=4.73, 95%CI (2.29, 9.78), P<0.001], use of glycopyrronium bromide [OR=2.79, 95%CI (1.53, 5.11), P=0.001] were risk factors for POUR in patients undergoing hip or knee arthroplasty. Conclusions The incidence of POUR in patients undergoing hip or knee arthroplasty is relatively high. Age, male, infusion volume, spinal anesthesia, history of urinary retention/urethral stenosis, use of analgesia pump, and use of glycopyrronium bromide are causes of POUR. It is suggested that medical staff should identify the risk of related factors and take early intervention to reduce the occurrence of POUR.

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