Comparison Study of Catheter Extubation Time in Elderly Patients Undergoing Total Hip Arthroplasty_West China Medical Journal

Authors：

 PENGQi ,  LIAODeng-bin

Orthopedic Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LIAODeng-bin, Email: jiuyou2003@163.com

Keywords：

Elderly male patients; Total hip arthroplasty; Extubation time; Complications

DOI：

10.7507/1002-0179.20140527

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the optimal catheter extubation time by comparing the postoperative complications in elderly patients undergoing total hip arthroplasty with catheter extubation at different times. Methods Between May and August 2013, 60 patients needing total hip replacement were randomly divided into experimental group and control group with 30 in each. The patients' average age of the experimental group was 75.6 years (65-87 years) and of the control group was 76.9 years (66-85 years). Extubation was performed within 24 hours after surgery in the experimental group, while it was performed after 24 hours after surgery in the control group. All the patients underwent clean catheterization with a Foley catheter two hours before surgery. The catheter indwelling time, first time of self-urination, urination after extubation, and complications were recorded and compared between the two groups carefully. Results The incidence of complications (urinary retention, urethral pain, cystospasm and urinary irritant symptoms) in the experimental group was significantly less than the control group (P<0.05). The first urination time had no significant difference (P>0.05) between the two groups. Conclusion The extraction of indwelling catheter in the early postoperative period (within 24 hours) can reduce the incidence of complications and is better for the early postoperative rehabilitation.

Citation： PENGQi, LIAODeng-bin. Comparison Study of Catheter Extubation Time in Elderly Patients Undergoing Total Hip Arthroplasty. West China Medical Journal, 2014, 29(9): 1730-1732. doi: 10.7507/1002-0179.20140527 Copy

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1. 寧寧.骨科康復護理學[M].北京:人民軍醫出版社,2005:79-80.
2. 李文,李忠英.留置尿管引起尿道疼痛的原因及護理[J].局解手術學雜志,2005,14(6):430-430.
3. 李晶,劉靜,劉志英,等.老年人工關節置換術后拔除尿管時間選擇與感染的研究[J].中華醫院感染學雜志,2013,23(5):1061-1063.
4. Farag E,Dilger J,Brooks P,et al.Epidural analgesia improves early rehabilitation after total knee replacement[J].J Clin Anesth,2005,17(4):281-285.
5. Baldini G,Bagry H,Aprikian A,et al.Postoperative urinary retention anesthetic and perioperative considerations[J].Anesthesiology,2009,110(5):1139-1157.
6. 王雪梅,鄒積芹.不同訓練方法對拔除尿管后排尿功能的影響[J].中國實用護理雜志,2005,21(7):47-48.
7. Van Den Brand IC,Castelein RM.Total joint arthroplasty and incidence of postoperative bacteriuria with an indwelling catheter or intermittent catheterization with one-dose antibiotic prophylaxis:a prospective randomized trial[J].J Arthroplasty,2001,16(7):850-855.
8. 喻學紅,任旭東,杜燕,等.導尿與尿路感染的分析[J].護士進修雜志,1996,11(6):12-13.
9. 陳紅花.導尿管相關尿路感染危險因素調查分析[J].中華醫院感染學雜志,2008,18(9):1276-1278.
10. 王麗姣.留置尿管的護理研究進展[J].護理研究,2004,18(17):1519-1520.
11. 李霞.留置尿管尿路感染危險因素分析及護理[J].實用臨床醫學,2013,14(11):111-112.
12. 李友芳,張亞萍,張麗.導尿管相關尿路感染原因分析及預防[J].齊魯護理雜志,2013,19(8):120-121.
13. Brading AF,Turner WI.The unstable bladder:forwards a common mechanism[J].Br J Urol,1994(73):3.
14. 張衛星,高錦春,何小祥.前列腺術后膀胱無抑制性收縮原因分析及處理體會[J].臨床泌尿外科雜志,1997,12(3):172-173.
15. 鄧春華,梅驊,鄭克立,等.前列腺增生癥的逼尿肌超微結構變化[J].中華泌尿外科雜志,1997,18(12):41-43.

West China Medical Journal

Comparison Study of Catheter Extubation Time in Elderly Patients Undergoing Total Hip Arthroplasty

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