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. 宁宁.骨科康复护理学[M].北京:人民军医出版社,2005:79-80.
2. 李文,李忠英.留置尿管引起尿道疼痛的原因及护理[J].局解手术学杂志,2005,14(6):430-430.
3. 李晶,刘静,刘志英,等.老年人工关节置换术后拔除尿管时间选择与感染的研究[J].中华医院感染学杂志,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,邹积芹.不同训练方法对拔除尿管后排尿功能的影响[J].中国实用护理杂志,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. 喻学红,任旭东,杜燕,等.导尿与尿路感染的分析[J].护士进修杂志,1996,11(6):12-13.
9. 陈红花.导尿管相关尿路感染危险因素调查分析[J].中华医院感染学杂志,2008,18(9):1276-1278.
10. 王丽姣.留置尿管的护理研究进展[J].护理研究,2004,18(17):1519-1520.
11. 李霞.留置尿管尿路感染危险因素分析及护理[J].实用临床医学,2013,14(11):111-112.
12. 李友芳,张亚萍,张丽.导尿管相关尿路感染原因分析及预防[J].齐鲁护理杂志,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. 张卫星,高锦春,何小祥.前列腺术后膀胱无抑制性收缩原因分析及处理体会[J].临床泌尿外科杂志,1997,12(3):172-173.
15. 邓春华,梅骅,郑克立,等.前列腺增生症的逼尿肌超微结构变化[J].中华泌尿外科杂志,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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