子宫切除术后拔除尿管时间的影响因素分析

Analysis of Influencing Factors of the Time of Catheter Removal after Hysterectomy

摘要: 目的：探讨子宫切除术后拔除尿管时间的影响因素，为临床工作中个体化拔管决策提供理论依据。方法：通过检索国内外相关文献，系统分析影响子宫切除术后拔除尿管时间的主要因素，包括手术方式、麻醉方式、患者因素、术后并发症、膀胱功能评估及护理干预等。结果：子宫切除术后拔除尿管时间受多因素影响，其中手术方式(开腹、腹腔镜、阴式)、麻醉方式(椎管内麻醉、全身麻醉)、患者年龄、合并糖尿病或神经系统疾病、术中膀胱损伤等是主要影响因素。结论：子宫切除术后拔除尿管时间需个体化选择，在保障患者安全的前提下尽量缩短留置时间，以降低尿路感染风险，促进患者术后康复。

Abstract: Objective: investigate the influencing factors of urinary catheter removal time after hysterectomy and provide theoretical basis for individualized catheter removal decisions in clinical practice. Methods: Through reviewing relevant domestic and international literature, the main factors affecting urinary catheter removal time after hysterectomy were systematically analyzed, including surgical approach, anesthesia method, patient factors, postoperative complications, bladder function assessment, and nursing interventions. Results: The urinary catheter removal time after hysterectomy was influenced by multiple factors, among which surgical approach (open, laparoscopic, vaginal), anesthesia method (intrathecal anesthesia, general anesthesia), patient age, comorbid diabetes or neurological disorders, and intraoperative bladder injury were the primary influencing factors. Conclusion: The urinary catheter removal time after hysterectomy should be individually selected. Under the premise of ensuring patient safety, the retention time should be minimized to reduce the risk of urinary tract infection and promote postoperative recovery.