在脊髓麻醉下选择性剖腹产后,对尿路发病率进行立即,6小时和24小时的尿道导管切除:一种随机比较研究
Roseline Beauty Iheagwam1, Peter Abiye Awoyesuku1, Princeba Tamunobelema Amachree1
1Department of Obstetrics & Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.
Nigerian medical journal : journal of the Nigeria Medical Association
|December 31, 2025
概括
在剖腹产后6小时取出尿道导管可以平衡尿路感染和保留的风险. 这种时间提供了一个比立即或24小时移除产后护理更安全的选择.
科学领域:
- 产科和妇科 产科和妇科
- 预防传染病 预防传染病
- 手术患者护理手术患者护理
背景情况:
- 尿道导管在剖腹产中很常见.
- 长时间使用导管会增加尿路感染 (UTI) 的风险.
- 在剖腹产后的最佳导管切除时间尚未确定.
研究的目的:
- 为了比较选择性剖腹产后的立即,6小时和24小时尿道导管切除.
- 评估对显著细菌性尿,再导管,排尿间隔和孕产妇不适的影响.
主要方法:
- 150名接受选择性剖腹产的妇女被随机分为三个组:立即,6小时和24小时的导管切除.
- 主要结局:显著的细菌尿和需要重新导管.
- 二次结果:第一次排尿的间隔和母亲的不适.
主要成果:
- 显著的细菌尿发生率为0% (即时),12% (6小时) 和24% (24小时) (p<0.001).
- 需要重新导管的尿发生在14% (即时),4% (6小时) 和0% (24小时) 的小组.
- 两组之间的母亲不适差异并不显著 (p=0.445).
结论:
- 立即去除减少了细菌尿,但增加了尿.
- 24小时后的去除减少了保留,但增加了细菌尿.
- 6小时的移除呈现出平衡的风险概况,并被建议作为更安全的选择.
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
661
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
661
Urologic Endoscopic Procedure: Cystoscopic Examination
2.0K
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
2.0K
Cardiac Catheterization IV: Nursing Management
602
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
602
Imaging Studies VI: Voiding Cystourethrography and Cystography
1.1K
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
1.1K


