摘要
目的探讨排尿训练对妇科术后自控硬膜外镇痛病人排尿型态恢复的效果。方法将某三级甲等医院妇科术后留置硬膜外镇痛泵的病人分为实验组和对照组,实验组病人进行系统排尿训练,对照组病人按常规进行术前术后宣教,并观察2组病人拔除尿管后的第1次排尿时间、尿量、B超下残余尿量及术后1、2、3d排尿型态异常的发生情况等。结果实验组病人拔除尿管后第1次排尿时间早,B超下的残余尿量明显较少,并且可以明显减少术后排尿型态异常的发生。结论排尿训练对妇科术后自控硬膜外镇痛病人排尿型态的恢复有显著效果,建议临床对术后硬膜外镇痛病人采用系统的排尿训练,以促进病人拔除尿管后顺利排尿,减少排尿型态异常给病人造成的不适。
Objective To explore the effects of emiction training in obstetrical patients with postoperative patient-controlled epidural analgesia. Methods The obstetrical patients with postoperative patient-controlled epidural analgesia in a third-class and first-level hospital were divided into two groups: experimental group and control group. The patients in experimental group received emiction training and those in control group were treated with routine health education before and after the operation. The first emiction time after removing ureter and urinary volume and the change of emiction mode at 1~3 days after the operation of two groups were observed. Results The patients in experimental group micturated earlier than those in control group and had less volume of residuation urinary and suffered fewer abnormal emiction modes. Conclusions Emiction training is effective for the recovery of the patients’ emiction mode. So it is suggested that the patients with postoperative patient-controlled epidural analgesia adopt emiction training.
出处
《中华现代护理杂志》
2006年第29期2749-2752,共4页
Chinese Journal of Modern Nursing
关键词
妇科手术
排尿训练
自控硬膜外镇痛
护理
Obstetrical operation
Emiction training
Patient-controlled epidural analgesia
Nursing
作者简介
李晓燕,女,1976年出生,北京大学护理学院研究生,主管护师.研究方向:妇科护理.
