在接受部和膝盖关节整形手术的患者中,用于管理尿的不那么侵入性导管治疗方案:一项前性队列研究
Keetie Kremers-van de Hei1, Bob Evers2, Lotte Weijers3
1Department of Orthopaedics, Canisius-Wilhelmina Ziekenhuis, Nijmegen, the Netherlands.
International journal of orthopaedic and trauma nursing
|March 9, 2025
概括
在关节置换手术后,尿道导管的新协议显著降低了导管率,从48.8%降至11.1%. 这种少入侵的方法是安全有效的,降低了患者的并发症和医疗保健成本.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 整形外科手术 整形外科手术
- 患者护理管理的管理.
背景情况:
- 手术后的尿是部或膝盖关节整形术后的常见并发症,影响30-50%的患者.
- 目前的指导方针缺乏关于尿道导管的指示的共识,导致各种做法.
- 这项研究研究了一种使用超声波膀扫描指导导导道决定的修改方案.
研究的目的:
- 评估修改后的尿路导管治疗方案的安全性和有效性,该方案具有较高的值 (800毫升) 与随意关节整形术后的通常护理 (400毫升) 相比.
- 为了确定一个不那么侵入性的导管策略是否可以减少导管的发生率,而不会增加尿道并发症.
主要方法:
- 一项前性队列研究,涉及305名根据快速通道协议接受选择性关节关节整形手术的患者.
- 只有当超声波膀扫描显示 800 毫升或更多的膀体积时,才进行尿管导管.
- 膀体积被监测,尿道学分数和并发症被跟踪. 对照组遵循通常的护理方案 (400毫升值).
主要成果:
- 在修改方案组 (11.1%) 与常规护理组 (48.8%,p < 0.001) 相比,尿阻塞导管的发生率明显较低.
- 在新方案下,泌尿道并发症的发生率较低,其中尿路感染为4%,药物干预为0.3%.
结论:
- 在整形外科手术后修改尿导管协议得到了强有力的经验证据的支持.
- 使用基于超声波膀扫描的更高值的不那么侵入性方案是安全有效的.
- 这种方法减少了护士的工作量,改善了患者的体验,并降低了医疗保健成本.
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