【摘要】：目的探討早期夾閉導(dǎo)尿管對(duì)胃癌術(shù)后患者術(shù)后排尿情況的影響。方法選取2014年1月至2014年8月之間,吉林大學(xué)白求恩第一醫(yī)院胃結(jié)直腸外科收治的胃癌根治術(shù)后患者,符合納入標(biāo)準(zhǔn)共132例,隨機(jī)分為實(shí)驗(yàn)組及對(duì)照組,實(shí)驗(yàn)組隨機(jī)分為術(shù)后立即夾閉尿管組、術(shù)后6小時(shí)夾閉尿管組。將符合納入標(biāo)準(zhǔn)的病例按照隨機(jī)對(duì)照方法分為實(shí)驗(yàn)A組(術(shù)后立即夾閉尿管組)、實(shí)驗(yàn)B組(術(shù)后6小時(shí)夾閉尿管組)、對(duì)照組,比較各組間患者的性別、年齡、胃癌臨床分期、精神緊張程度、術(shù)后液體攝入量、拔除尿管后第一次排尿時(shí)間、拔除尿管后初次排尿時(shí)的排尿狀況及小腹癥狀、尿流率、排尿后舒適程度和尿培養(yǎng)陽性率。結(jié)果比較各組間患者的性別、年齡、胃癌臨床分期、精神緊張程度、術(shù)后液體攝入量分別經(jīng)t檢驗(yàn)和X2檢驗(yàn)處理,無顯著性差異(P0.05),具有可比性。拔除尿管后至首次排尿時(shí)間、拔除尿管后首次排尿情況、拔除尿管后首次排尿小腹癥狀、尿培養(yǎng)結(jié)果,經(jīng)非參數(shù)檢驗(yàn),實(shí)驗(yàn)A組與對(duì)照組及實(shí)驗(yàn)B組與對(duì)照組,組間比較均有顯著性差異(P0.05),實(shí)驗(yàn)A組與實(shí)驗(yàn)B組間無顯著性差異(P0.05)。拔除尿管后首次排尿持續(xù)時(shí)間、尿流率積分進(jìn)行比較,經(jīng)非參數(shù)檢驗(yàn),實(shí)驗(yàn)A組及實(shí)驗(yàn)B組均顯著優(yōu)于對(duì)照組(P0.05),且實(shí)驗(yàn)A組顯著優(yōu)于實(shí)驗(yàn)B組(P0.05)。結(jié)論胃癌術(shù)后早期夾閉尿管可以顯著縮短拔除尿管后至首次排尿時(shí)間、改善拔除尿管后首次排尿情況和小腹癥狀、減少尿培養(yǎng)的陽性發(fā)生率,而越早夾閉尿管則有助于改善胃癌術(shù)后患者拔除尿管后首次排尿持續(xù)時(shí)問和尿流率。
[Abstract]:Objective to investigate the effect of early urethral entrapment on postoperative urination in patients with gastric cancer. Methods between January 2014 and August 2014, 132 patients with gastric cancer treated in the first Hospital of Bethune of Jilin University after radical gastrectomy were randomly divided into experimental group and control group. The experimental group was randomly divided into two groups: immediately after operation and 6 hours after operation. The patients who met the inclusion criteria were randomly divided into experimental group A (immediately after operation), experimental group B (6 hours after operation) and control group. The sex and age of the patients were compared. Clinical stage of gastric cancer, degree of mental stress, postoperative fluid intake, first time of urination after extubation, condition of urination and symptoms of abdomen, urine flow rate, comfortable degree after urination and positive rate of urine culture after extubation. Results there were no significant differences in sex, age, clinical stage of gastric cancer, degree of mental stress and postoperative fluid intake by t test and X 2 test (P0.05). The time from extubation to first urination, the first time of urination after extubation, the symptom of first voiding abdomen, the result of urine culture, the experimental group A and the control group and the experimental group B and the control group were tested by non-parametric test. There was significant difference between the two groups (P0.05), but there was no significant difference between Group A and Group B (P0.05). The first time of urination and the integral of urinary flow rate were compared after extubation. By non-parametric test, experimental group A and experimental group B were significantly better than control group (P0.05), and group A was significantly better than group B (P0.05). Conclusion early entrapment of urinary catheter after operation of gastric cancer can significantly shorten the time from extubation to first urination, improve the first urination and abdominal symptoms after extubation, and reduce the positive rate of urine culture. The earlier the catheter is clipped, the better the rate of urine flow and the first continuous urination after extubation of gastric cancer.
【學(xué)位授予單位】：長春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.73

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