Thapa M, Shrestha J, Pradhan B N, Padhye S M
Department of Obstetrics and Gynaecology, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
J Nepal Health Res Counc. 2010 Oct;8(2):107-9.
Post operative bladder drainage is important care following gynaecological surgeries. This study was done to compare the incidence of urinary retention and bacteriuria following long term versus short term catheterization.
The patients who were admitted for gynaecological major surgeries were enrolled in this study. One group of patients had post operative indwelling catheterization for 24 hrs (short term catheterization) and another group of patients had catheterization for more than 48 hrs (long term catheterization). The urine examination and culture sensitivity was sent for all patients at the removal of catheter. The patients were followed after removal of catheter for urinary retention.
Total of 102 patients were studied. There were 48 patients in short term catheterization group and 54 patients in long term catheterization group. In short term catheterization group, 3 (6.2%) cases had bacteriuria and no cases of urinary retention were observed. In prolonged catheterization group, 6 cases (11.1%) had bacteriuria and 2 cases (3.7%) had urinary retention.
This study has concluded that short time catheterization following gynaecological surgery had fewer incidences of bacteriuria and urinary retention than long term catheterization.
妇科手术后膀胱引流是重要的护理措施。本研究旨在比较长期与短期导尿后尿潴留和菌尿的发生率。
纳入因妇科大手术入院的患者。一组患者术后留置导尿24小时（短期导尿），另一组患者导尿超过48小时（长期导尿）。所有患者在拔除导尿管时均进行尿液检查和培养药敏试验。拔除导尿管后对患者进行尿潴留随访。
共研究102例患者。短期导尿组48例，长期导尿组54例。短期导尿组3例（6.2%）发生菌尿，未观察到尿潴留病例。长期导尿组6例（11.1%）发生菌尿，2例（3.7%）发生尿潴留。
本研究得出结论，妇科手术后短期导尿比长期导尿的菌尿和尿潴留发生率更低。
