在接受选择性剖腹产的妇女中,常规的尿导管和术后的尿症状和尿路感染之间的关系
Ihab I Samaha1, Zaituna Khamidullina2, Ibrahim A Abdelazim3
1Department of Obstetrics and Gynaecology, Faculty of Medicine, Helwan University, Cairo, Egypt.
Przeglad menopauzalny = Menopause review
|January 19, 2024
概括
在选择性剖腹产 (ECS) 期间的例行尿路导管治疗显著增加了术后尿路症状和尿路感染 (UTIs) 的风险. 这种做法还导致更高的抗微生物药物的使用和更长的住院时间的妇女接受了ECS.
科学领域:
- 产科和妇科 产科和妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
背景情况:
- 手术后的尿路症状和尿路感染 (UTI) 是妇科手术后的常见并发症.
- 在选择性剖腹产 (ECS) 中常规尿道导管的作用对于这些并发症需要进一步调查.
研究的目的:
- 确定常规尿管导管与手术后尿路症状和尿路感染在接受ECS的妇女中发生率之间的关系.
主要方法:
- 一项观察性研究,涉及100名接受ECS的女性,随机分为一个通道 (C) 组和一个非通道 (NC) 组.
- 评估了手术后的泌尿症状和尿液培养. 当患者在救护车上并从麻醉中恢复过来后,导管被移除了.
主要成果:
- 与非导管组相比,导管组的术后失尿率,频率和紧迫性显著更高 (p < 0.01).
- 尿路感染 (UTI) 和术后抗微生物药物的使用在导管组显着更高 (40%对6%,p=0.001).
- 导管组还经历了显著更长的术后住院时间 (5.4天 vs 3.8天,p = 0.001).
结论:
- 在接受ECS的妇女中,常规的尿路导管治疗与术后尿路症状,尿道感染和抗菌药物的使用显著增加有关.
- 这些发现表明,常规导管注射可能没有益处,并且可能导致ECS患者的不良结果.
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