Research status of no-urinary catheterization in post-spineoperative patients under the enhanced recovery after surgery mode_West China Medical Journal

Authors：

ZHONG Shangjie ,  NING Ning , LI Peifang , CHEN Jiali , YAO Mei , LUO Xiaoling

Department of Orthopedics, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

NING Ning, Email: gkningning@126.com

Keywords：

Enhanced recovery after surgery; Spine surgery; Urination; Influenced factors

DOI：

10.7507/1002-0179.201904059

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the status of urination in post-spineoperative (cervical thoracic and lumber verteb) patients under the enhanced recovery after surgery (ERAS) mode.Methods Patients who were admitted to the West China Hospital of Sichuan University from October 2018 to February 2019 were enrolled. The urination status of the patients was collected by using questionnaires. All patients were divided into normal urinating group, induced urinating group and catheterization group according to their urination status after returning to the ward.Results A total of 106 patients were included, including 78 (73.6%) who urinated smoothly [the first urinating time (72.18±36.33) min], 20 (18.9%) who urinated after induction [the first urinating time (81.50±41.68) min], and 8 (7.5%) who received catheters after induction failure [the first urinating time (162.50±84.52) min]. The different operation, operation time, position of urination, and postoperative pain degree affecting the placement of urethral catheter differed from each other significantly (P<0.05). Among the three groups, the differences were statistically significant in operation time, operation methods, position of urination (except for the induced urination group vs. catheterization group) and postoperative pain degree (except for the induced urination group vs. catheterization group) in pairs (P<0.05). There was no significant difference in other factors among three groups in pairs (P>0.05).Conclusions Most post-spineoperative patients can autonomously urinate without catheter under the ERAS mode, which bases on operation methods, operation time, and the first urinating posture after the surgery. Early attention should be paid to patients with dysuresia to promote their early rehabilitation.

Citation： ZHONG Shangjie, NING Ning, LI Peifang, CHEN Jiali, YAO Mei, LUO Xiaoling. Research status of no-urinary catheterization in post-spineoperative patients under the enhanced recovery after surgery mode. West China Medical Journal, 2020, 35(7): 851-854. doi: 10.7507/1002-0179.201904059 Copy

1.	Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth, 1997, 78(5): 606-617.
2.	張德娟, 張曉嵐, 寇賢麗. 改良尿管拔除模式對拔管后尿潴留及排尿舒適度的影響. 西北國防醫學雜志, 2017, 38(9): 598-601.
3.	楊宇瑩, 蔣琳, 曹靜. 脊柱手術住院患者術后泌尿系統感染的病原學特征和危險因素分析. 中國醫學前沿雜志(電子版), 2018, 10(11): 120-123.
4.	雷一霆, 黃強, 張少云, 等. 人工全髖關節置換術圍術期限制性輸液聯合術前排尿訓練的臨床研究. 中國修復重建外科雜志, 2017, 31(11): 1295-1299.
5.	孫天勝, 沈建雄, 劉忠軍, 等. 中國脊柱手術加速康復—圍術期管理策略專家共識. 中華骨與關節外科雜志, 2017, 10(4): 271-279.
6.	米爽, 洪正華, 王美珍, 等. 減少脊柱手術術中出血措施的研究進展. 中國脊柱脊髓雜志, 2016, 26(1): 86-89.
7.	屈俊宏, 寧寧, 李佩芳, 等. 脊柱外科入院患者情緒障礙調查研究. 華西醫學, 2017, 32(9): 1347-1350.
8.	劉偉, 林漢生. SPSS 在完全隨機設計多個樣本間多重比較 Nemenyi 秩和檢驗中的應用. 中國衛生統計, 2009, 26(2): 214, 216.
9.	文守琴, 李玲利, 陳佳麗, 等. 全膝關節置換術不安置尿管的可行性研究. 華西醫學, 2014, 29(12): 2342-2343.
10.	李偉, 蘭彬, 范娟. 全身麻醉下介入治療低級別顱內動脈瘤術前不留置尿管的可行性研究. 華西醫學, 2013, 28(1): 112-113.
11.	吳孟航, 陳茂君, 劉聞捷. 加速康復外科模式下 Chiari 畸形患者圍術期無尿管留置的效果研究. 四川大學學報(醫學版), 2018, 49(4): 670-672.
12.	詹瑜佳, 陳佳麗, 陳瀟, 等. 不留置尿管在全膝關節置換術后對患者排尿影響的研究. 護士進修雜志, 2014, 29(22): 2027-2028.
13.	朱詩白, 翟潔, 蔣超, 等. 膝關節置換圍手術期的快速康復措施. 中國組織工程研究, 2017, 21(3): 456-463.
14.	余洋, 譚彪, 楊世鵬, 等. 經皮內鏡可視化椎間孔成形技術治療腰椎間盤突出癥. 中國微創外科雜志, 2018, 18(9): 779-782, 786.
15.	國家衛生計生委公益性行業科研專項《關節置換術安全性與效果評價》項目組, 中華醫學會骨科學分會關節外科學組, 中國醫療保健國際交流促進會骨科分會關節外科委員會. 中國髖、膝關節置換術加速康復—圍術期管理策略專家共識. 中華骨與關節外科雜志, 2016, 9(1): 1-9.
16.	黃麗亞. 術前排尿訓練對骨科手術后患者排尿影響分析. 護士進修雜志, 2005, 20(2): 132-133.
17.	賀立新, 孫小晶, 蔣珍鳳, 等. 平臥位排尿訓練對腰椎間盤突出癥患者術后排尿方式的影響. 護士進修雜志, 2011, 26(16): 1448-1449.

1. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth, 1997, 78(5): 606-617.
2. 張德娟, 張曉嵐, 寇賢麗. 改良尿管拔除模式對拔管后尿潴留及排尿舒適度的影響. 西北國防醫學雜志, 2017, 38(9): 598-601.
3. 楊宇瑩, 蔣琳, 曹靜. 脊柱手術住院患者術后泌尿系統感染的病原學特征和危險因素分析. 中國醫學前沿雜志(電子版), 2018, 10(11): 120-123.
4. 雷一霆, 黃強, 張少云, 等. 人工全髖關節置換術圍術期限制性輸液聯合術前排尿訓練的臨床研究. 中國修復重建外科雜志, 2017, 31(11): 1295-1299.
5. 孫天勝, 沈建雄, 劉忠軍, 等. 中國脊柱手術加速康復—圍術期管理策略專家共識. 中華骨與關節外科雜志, 2017, 10(4): 271-279.
6. 米爽, 洪正華, 王美珍, 等. 減少脊柱手術術中出血措施的研究進展. 中國脊柱脊髓雜志, 2016, 26(1): 86-89.
7. 屈俊宏, 寧寧, 李佩芳, 等. 脊柱外科入院患者情緒障礙調查研究. 華西醫學, 2017, 32(9): 1347-1350.
8. 劉偉, 林漢生. SPSS 在完全隨機設計多個樣本間多重比較 Nemenyi 秩和檢驗中的應用. 中國衛生統計, 2009, 26(2): 214, 216.
9. 文守琴, 李玲利, 陳佳麗, 等. 全膝關節置換術不安置尿管的可行性研究. 華西醫學, 2014, 29(12): 2342-2343.
10. 李偉, 蘭彬, 范娟. 全身麻醉下介入治療低級別顱內動脈瘤術前不留置尿管的可行性研究. 華西醫學, 2013, 28(1): 112-113.
11. 吳孟航, 陳茂君, 劉聞捷. 加速康復外科模式下 Chiari 畸形患者圍術期無尿管留置的效果研究. 四川大學學報(醫學版), 2018, 49(4): 670-672.
12. 詹瑜佳, 陳佳麗, 陳瀟, 等. 不留置尿管在全膝關節置換術后對患者排尿影響的研究. 護士進修雜志, 2014, 29(22): 2027-2028.
13. 朱詩白, 翟潔, 蔣超, 等. 膝關節置換圍手術期的快速康復措施. 中國組織工程研究, 2017, 21(3): 456-463.
14. 余洋, 譚彪, 楊世鵬, 等. 經皮內鏡可視化椎間孔成形技術治療腰椎間盤突出癥. 中國微創外科雜志, 2018, 18(9): 779-782, 786.
15. 國家衛生計生委公益性行業科研專項《關節置換術安全性與效果評價》項目組, 中華醫學會骨科學分會關節外科學組, 中國醫療保健國際交流促進會骨科分會關節外科委員會. 中國髖、膝關節置換術加速康復—圍術期管理策略專家共識. 中華骨與關節外科雜志, 2016, 9(1): 1-9.
16. 黃麗亞. 術前排尿訓練對骨科手術后患者排尿影響分析. 護士進修雜志, 2005, 20(2): 132-133.
17. 賀立新, 孫小晶, 蔣珍鳳, 等. 平臥位排尿訓練對腰椎間盤突出癥患者術后排尿方式的影響. 護士進修雜志, 2011, 26(16): 1448-1449.

West China Medical Journal

Research status of no-urinary catheterization in post-spineoperative patients under the enhanced recovery after surgery mode

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content