基于快速康复理论优化术后尿管应用在全膝关节置换术中的效果观察

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Abstract Objective To discuss the effect of optimized postoperative urinary catheterization after total knee arthroplasty (TKA) based on fast track theory. Methods From January to June 2015, in Peking University Shenzhen Hospital, 100 patients underwent TKA were selected, according to random number table, they were divided into control group (all indwelling catheter) and trial group (catheterization threshold of 500 mL), with 50 cases in each group. The time and volume of first voluntary micturition, urinary tract infection, urination comfort index were observed and compared. Results The first urination time of trial group were shorter than control group, the difference was statistically significant (P < 0.05). the difference was statistically significant (P < 0.05). The first urination volume of trial group were more than control group, the difference was statistically significant (P < 0.05). The comfort index of trial group were better than control group, the difference was statistically significant (P < 0.05). The urinary tract infection rate of two groups were compared, the difference was not statistically significant (P > 0.05). Conclusion In fast-track TKA, a bladder volume of 500 mL is reasonable and safe catheterization threshold, which can relieve the discomfort effectively, and speed the recovery postoperatively.

Key words： Fast track Indwelling catheter Total knee arthroplasty Bladder residual urine

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	YOU Tian1 WANG Shuang1 WEN Qinqin1 HU Huiying2 XIAO Yingui1 LI Jiuqun1

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YOU Tian1 WANG Shuang1 WEN Qinqin1 HU Huiying2 XIAO Yingui1 LI Jiuqun1. Effect of optimized postoperative urinary catheterization after total knee arthroplasty based on fast track theory[J]. 中国医药导报, 2017, 14(16): 47-50.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I16/47

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