宋晓燕　李佳清

【摘要】 目的：探讨膀胱挤压排尿法联合传统排尿方法解除术后尿潴留的效果。方法：选取2016年1-12月笔者所在医院接收的86例术后尿潴留患者为研究对象，随机分为对照组（予以传统排尿方法，n=43）与观察组（予以传统诱导法+膀胱挤压排尿法，n=43），比较两组治疗效果。结果：观察组患者临床总有效率为95.35%，明显高于对照组的67.44%，满意度为95.35%，显著高于对照组的65.12%，比较差异均有统计学意义（P<0.05）；观察组首次排尿时间<20 min、20～40 min患者所占比例为30.23%、58.14%，明显高于对照组的6.98%、13.95%，比较差异均有统计学意义（P<0.05）。结论：外科手术后尿潴留患者采取膀胱挤压排尿法联合诱导排尿法治疗，能有效提高排尿效果，解除尿潴留，具有推广价值。

【关键词】 术后尿潴留； 传统排尿方法； 膀胱挤压排尿法

doi：10.14033/j.cnki.cfmr.2018.4.005 文献标识码 A 文章编号 1674-6805（2018）04-0010-02

Effect of Bladder Squeezing and Urination Combined with Traditional Urination on Postoperative Uroschesis/SONG Xiaoyan，LI Jiaqing.//Chinese and Foreign Medical Research，2018，16（4）：10-11

【Abstract】 Objective：To explore the effect of bladder squeeze urination combined with traditional urination in the treatment of postoperative uroschesis.Method：From January 2016 to December 2016，86 patients with postoperative uroschesis treated in our hospital were selected as the object，and were randomly divided into two groups，43 cases each.The control group were treated with traditional urination，and the observation group were treated with the method of bladder squeeze urination combined with traditional urination.The clinical effects of two groups were compared.Result：The total clinical effective rate of the observation group was 95.35%，which was significantly higher than that of the control group （67.44%），the satisfaction rate was 95.35%，which was significantly higher than that of the control group 65.12%，the difference was statistically significant（P<0.05）.In the observation group，the proportion of patients with the first urination time of less than 20 minutes and 20 to 40 minutes were 30.23% and 58.14%，significantly higher than those in the control group（6.98% and 13.95%，respectively），the difference was statistically significant（P<0.05）.Conclusion：After operation，patients with uroschesis are treated with the method of bladder squeeze urination combined with traditional urination，which can effectively improve the voiding effect and relieve uroschesis，which is worthy of popularization.

【Key words】 Postoperative uroschesis； Traditional urination； Bladder squeeze urination

First-authors address：Wuxi Peoples Hospital，Wuxi 214023，China

尿潴留是術后患者常见的并发症，是指膀胱内存留大量尿液而不能自行排出。术后尿潴留是指如术后8 h内患者膀胱尿量>600 ml，或膀胱尿液不能有效排空而残余尿量>100 ml[1]。传统方法常采用热敷下腹部、听流水声等诱导排尿，但效果往往不能令人满意。本研究通过对2016年1月-2016年12月笔者所在医院接收的部分术后尿潴留患者进行分析，探讨新排尿方法联合传统排尿方法解除术后尿潴留的效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2016年1月-2016年12月笔者所在医院接收的86例术后尿潴留患者为研究对象，入选标准：非肛门、会阴部手术；无前列腺增生、尿路结石、梗阻、狭窄等疾病；非下腹部手术，排除膀胱高度充盈的患者。将入选换者随机分为对照组（n=43）与观察组（n=43）。观察组中女20例，男23例，年龄36～86岁，平均（58.6±3.5）岁，对照组中，女19例，男24例，年龄37～87岁，平均（58.9±2.8）岁。两组尿潴留患者的年龄、性别等一般资料比较差异无统计学意义（P>0.05），具有可比性。

1.2 方法