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目的:探讨阴式非脱垂子宫切除术后病人早期拔除尿管对减少病人排尿困难及尿道刺激症的发生、减轻腹胀、促进肠蠕动、缩短肛门排气时间的作用。方法:选择2008年1～6月52例阴式非脱垂子宫切除术后的病人随机分成两组,观察组26例,术后24 h拔尿管,早期活动;对照组26例,术后48 h拔尿管,随意活动。观察两组病人第1次下床活动时间,第一次下床活动后24 h内活动频率、肛门排气时间、首次排尿成功率及尿道刺激症的发生。结果:观察组在第一次下床活动后24 h内活动频率、肛门排气时间、尿道刺激症与对照组相比较差异有统计学意义(P<0.05),首次排尿成功率高,尿道刺激症发生率低。结论:阴式非脱垂子宫切除术后病人在一定前提下,早拔尿管及随意活动,可以使病人肠蠕动恢复更快,减少肛门排气时间,降低尿道刺激症的发生。
Objective: To explore the effect of early removal of urethral catheter in patients after vaginal non-prolapse hysterectomy to reduce the difficulty of urination and urinary tract irritation, relieve abdominal distension, promote peristalsis and shorten the time of anal exhaust. Methods: From January to June in 2008, 52 cases of vaginal non-prolapsed hysterectomy were randomly divided into two groups, the observation group of 26 cases, 24 hours after catheter pull, early activity; control group of 26 patients, postoperative 48 h pull the catheter, free activity. The time of first bed activity, the activity frequency within 24 hours after the first bed activity, the time of anal exhaust, the success rate of first urination and urethral irritation were observed in the two groups. Results: There was significant difference in activity frequency, anal exhaust time and urethral irritation between the observation group and the control group within 24 h after the first ambulation (P <0.05). The first urination success rate was high and urethral stimulation Low incidence of disease. Conclusion: The patients with vaginal non-prolapsed hysterectomy under certain conditions, early removal of the catheter and free activity, can make the patient’s recovery of peristalsis faster, reduce anal exhaust time and reduce the occurrence of urethral irritation.