谢旭敏 张世林 刘国庆 李杰荣 李春景

【摘要】 目的：探讨妊娠期急性尿潴留导尿管保留时间对临床疗效的影响。方法：选取2018年1月-2019年7月笔者所在医院收治的妊娠期急性尿潴留患者40例。按照患者就诊顺序依次分为观察组与对照组，每组20例，均予急诊导尿引流尿液。对照组予留置导尿管3 d后拔除，观察组留置导尿管1周后拔除。比较两组拔除导尿管后排尿情况、膀胱内残余尿量、尿细菌阳性率和临床有效率。结果：拔除导尿管后观察组首次排尿时间长于对照组，首次排尿量多于对照组，膀胱内残余尿量少于对照组，差异均有统计学意义（P<0.05）。两组尿细菌培养阳性率比较差异无统计学意义（P>0.05）。观察组临床有效率为75.00%（15/20），高于对照组的40.00%（8/20），差异有统计学意义（P<0.05）。结论：予孕期急性尿潴留患者留置导尿管7 d可充分引流尿液，提高临床有效率，配合合理的临床护理可不增加尿路感染的风险。

【关键词】 妊娠期 急性尿潴留 導尿管保留时间

doi：10.14033/j.cnki.cfmr.2020.19.063 文献标识码 B 文章编号 1674-6805（2020）19-0-03

Clinical Study on Retention Time of Acute Urinary Retention Catheters during Pregnancy/XIE Xumin， ZHANG Shilin， LIU Guoqing， LI Jierong， LI Chunjing. //Chinese and Foreign Medical Research， 2020， 18（19）： -155

[Abstract] Objective： To investigate the effect of retention time of urinary retention catheter in pregnancy on clinical efficacy. Method： A total of 40 patients with acute urinary retention in pregnancy admitted to our hospital from January 2018 to July 2019 were selected. And they were divided into the observation group and the control group according to the order of seeking treatment， with 20 cases in each group. Urethral catheter was inserted and indwelled with every patient. In the control group， catheter was removed after 3 days， and in the observation group， catheter was removed after 7 days. The urinary excretion， residual urine volume， positive rate of urinary bacteria and clinical effective rate of the two groups were compared. Result： After the removal of the catheter， the first urination time in the observation group was longer than that in the control group， the first urination volume was more than that in the control group， and the residual urine volume in the bladder was lower than that in the control group， the differences were statistically significant （P<0.05）. There was no significant difference in the positive rate of urine bacteria culture between the two groups （P>0.05）. The clinical effective rate in the observation group was 75.00% （15/20）， higher than 40.00% （8/20） in the control group， the difference was statistically significant （P<0.05）. Conclusion： Indwelling catheters for 7 days in patients with acute urinary retention during pregnancy can fully drain urine， improve clinical efficiency， and do not increase the risk of urinary tract infection with reasonable clinical care.

[Key words] Pregnancy Acute urinary retention Retention time of catheters

First-authors address： Foshan Maternal and Child Health Hospital， Foshan 528000， China

妊娠期急性尿潴留是指妊娠期患者突发膀胱内胀满尿液且无法排出，伴下腹部胀痛等临床表现。常需通过急诊留置导尿管引流尿液。但导尿管留置的时间目前尚无定论，目前临床上一般留置导尿管1～3 d后试行拔除导尿管，但部分患者拔除导尿管后仍无法排尿。留导尿管时间长短与拔管后自主排尿能否成功存在相关性[1]，但延长导尿管留置时间亦可能增加尿路感染风险。本研究旨在探讨妊娠期尿潴留导尿管保留时间对临床疗效的影响，现报告如下。

1 资料与方法

1.1 一般资料

选取2018年1月-2019年7月笔者所在医院外科急诊处理妊娠期急性尿潴留患者40例。纳入标准：妊娠期初次突发急性尿潴留，主要临床表现为排尿困难，尿液无法排出，伴下腹部胀痛。……