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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Does timing of urinary catheter removal after elective cesarean section affects postoperative morbidity?: a prospective randomized trial
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Does timing of urinary catheter removal after elective cesarean section affects postoperative morbidity?: a prospective randomized trial

机译：选择剖宫产后尿道导管切除的时间是否会影响术后发病率？：预期随机试验

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Objective:To assess whether immediate (0 h), intermediate (after 6 h), or delayed (after 24 h) removal of an urinary catheter after elective caesarian section (CS) regarding, the rate of urinary retention with recatheterization, rate of symptomatic urinary tract infections (UTI), time of ambulation, and the length of hospital stay. Methods:Prospective randomized controlled trial conducted at King Abd Al-Aziz Hospital, KSA. Two hundred twenty-one women underwent for term elective CS and were randomly allocated into three groups by simple randomization using computer-generated random numbers. Women in group A (73 patients) had their urinary catheter removed immediately after surgery. Group B (81 patients) had the catheter removed 6 h postoperatively while in group C (67 patients) the catheter was removed after 24 h. The following outcomes were assessed for each group: rate of recatheterization, symptomatic UTI, time of ambulation, and the length of hospital stay. Results:All groups were matched regarding maternal age, body mass index, gestational age at delivery, and duration of surgery there was a significantly higher incidence of urinary retention needing recatheterization in the immediate removal group compared to the intermediate and delayed removal groups (13.6 vs. 2.5 and 0%, respectively). Delayed urinary catheter removal was associated with a higher incidence of UTI (13.4%), delayed ambulation time (10.3 h), and longer hospital stay (3.9 days) compared to the early (1.4%, 4.1 h, and 1.9 days, respectively) and intermediate (3.7%, 6.8 h, and 2.4 days respectively) removal groups. Conclusion:Removal of the urinary catheter 6 h postoperatively appears to be more advantageous than early or late removal in cases of CS.
机译：目的：评估立即（0h），中间体（6小时后），或延迟（24小时后）选修剖腹产（CS）的泌尿导导点，尿潴留的尿潴留率，症状率尿路感染（UTI），救护时间和住院时间的时间。方法：在KSA国王Abd Al-Aziz医院进行预期随机对照试验。两百二十一名女性接受了术语选修CS，并通过使用计算机生成的随机数通过简单随机化随机分配成三组。 A组（73名患者）中的女性在手术后立即移除了尿导管。 B组（81名患者）在C组（67名患者）中术后术后术后6小时移除了导管，在24小时后除去导管。每组评估以下结果：经济转台化，症状，行动时间和住院时间的速度。结果：所有群体与母体年龄，体重指数，胎儿胎儿在递送和手术期间匹配，与中间和延迟除去基团相比，立即除去组需要尿潴留的尿潴留发生率显着更高（13.6 vs 。2.5和0％）分别）。延迟的尿导管移除与UTI的发病率更高（13.4％），与早期（分别为1.4％，4.1小时和1.9天）相比，延迟的牵引时间（10.3小时），较长的住院时间（3.9天）和中间体（分别为3.7％，6.8小时和2.4天）去除组。结论：术后6 h的去除术后6 h似乎比CS的情况下的早期或晚期除去更有利。

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