间歇性尿道导管紧与积极排尿训练 (ICCAUT) 策略相结合,在急性直肠癌手术后对术后泌尿功能障碍的影响:单中心随机对照试验 (ICCAUT -1) 研究协议
Tingting He1, Sen Liang1,2, Yunan Guan1
1Department of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, Changchun, China.
BMJ open
|February 5, 2025
概括
这项研究研究了间歇性导管紧与积极排尿训练 (ICCAUT) 结合的对比,对前切除术后膀功能免费排水. ICCAUT可以改善尿路结果,并减少术后需要重新插入导管.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 术后恢复 术后恢复
- 术后护理 术后护理
背景情况:
- 尿管导管是术后的标准,但切除前最佳的膀管理尚不清楚.
- 膀训练方案需要进一步调查,以改善患者的治疗结果.
研究的目的:
- 评估间歇性导管紧与积极排尿训练 (ICCAUT) 相比自由排尿 (FD) 的有效性.
- 评估ICCAUT对尿的影响以及分泌切除术后二次导管的必要性.
主要方法:
- 随机对照试验以1:1的比例比较ICCAUT和FD组.
- 在两组中,在术后第二天取出尿管.
- 主要终点:尿路功能障碍的发生率;次要终点:尿路感染,第一次排尿的时间,膀不适,发病率,死亡率和30天的尿路功能.
主要成果:
- 关于初级和二级终点的数据正在等待.
- 这项研究旨在为术后膀管理提供基于证据的建议.
结论:
- 这些发现将为临床实践提供有关分泌切除术后膀训练方案的信息.
- 这项研究旨在优化康复并减少与尿道导管治疗相关的并发症.
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