Higgins P M, French M E, Chadalavada V S
Department of Urology, City General Hospital, Stoke-on-Trent.
Br J Urol. 1991 Apr;67(4):365-8. doi: 10.1111/j.1464-410x.1991.tb15163.x.
Our standard policy for the management of retention of urine due to prostatic hypertrophy is that the patient is catheterised and sent home, later to be seen and assessed in the Out-patient Department where he is given an admission date for operation. A detailed audit of 166 patients cared for in this way is presented and the results compared with those in 25 patients who remained in hospital in the interval between catheterisation and operation and in 402 patients not previously catheterised. Although the mortality rate was significantly higher in the retention group (3.3 vs 0.25%), we feel that this is a reflection of the fitness of the patients with retention rather than a consequence of the management policy. The advantages of the "catheterise and send home" policy are discussed.
我们对于因前列腺肥大导致尿潴留的管理标准政策是，为患者插入导尿管后送其回家，随后在门诊部对其进行检查和评估，并为其安排手术入院日期。本文呈现了对166例以这种方式护理的患者的详细审计情况，并将结果与25例在导尿和手术间隔期留在医院的患者以及402例之前未导尿的患者的结果进行了比较。尽管潴留组的死亡率显著更高（3.3%对0.25%），但我们认为这反映的是潴留患者的健康状况，而非管理政策的结果。文中讨论了“导尿并送回家”政策的优点。
