Perioperative bladder management after primary total hip arthroplasty

被引：44

作者：

Oishi, CS ^{[1
]}

Williams, VJ ^{[1
]}

Hanson, PB ^{[1
]}

Schneider, JE ^{[1
]}

Colwell, CW ^{[1
]}

Walker, RH ^{[1
]}

机构：

[1] SCRIPPS CLIN & RES FDN,DIV ORTHOPAED SURG,LA JOLLA,CA 92037

来源：

JOURNAL OF ARTHROPLASTY | 1995年 / 10卷 / 06期

关键词：

hip; arthroplasty; urinary; bladder; catheterization; perioperative;

D O I：

10.1016/S0883-5403(05)80067-1

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A retrospective review of 95 consecutive primary total hip arthroplasty patients was performed to assess the clinical outcome of two postoperative bladder management protocols. The first 49 patients (group 1) were treated with a pro re nata straight catheterization protocol. The next 46 patients (group 2) were treated with an indwelling catheterization protocol. There were no differences between the groups with respect to sex or age. The patients in group 2 had significantly lower incidences of urinary retention (P < .0005) and bladder distention (P < .0005) than those in group 1. Preoperative systemic diseases and urologic symptoms did nor cor relate with the occurrence of postoperative urinary retention or bladder distention. There were no infections in group 1. In group 2, one patient (2%) had bacteriuria and one patient (2%) had a urinary tract infection (P > .1). This trend of increased contamination in the catheterization group may be related to a mean catheterization duration of 72 hours.

引用

页码：732 / 736

页数：5

共 10 条

[1]

Hozack, Carpiniello, Booth, The effect of early bladder catheterization on the incidence of urinary complications after total joint replacement, Clin Orthop Relat Res, 231, (1988)

[2]

Wroblewski, Del Sel, Urethral instrumentation and deep sepsis in total hip replacement, Clin Orthop, 146, (1980)

[3]

Donovan, Gordon, Nagel, Urinary infections in total hip arthroplasty, J Bone Joint Surg, 58 A, (1976)

[4]

Shaeffer, Catheter-associated bacteriuria, Urol Clin North Am, 13, (1986)

[5]

Carpiniello, Cendron, Altman, Et al., Treatment of urinary complications after total joint replacement in elderly females, Urology, 32, (1988)

[6]

Michelson, Lotke, Steinberg, Urinary-bladder management after total joint replacement surgery, N Engl J Med, 319, (1988)

[7]

Ritter, Faris, Keating, Urinary tract catheterization protocols following total joint arthroplasty, Orthopedics, 12, (1989)

[8]

Waterhouse, Beaumont, Murray, Et al., Urinary retention after total hip replacement: a prospective study, J Bone Joint Surg, 69 B, (1987)

[9]

Martinez, Civetta, Anderson, Et al., Bacteriuria in the catheterized surgical intensive care patient, Crit Care Med, 14, (1986)

[10]

Redfern, Machin, Parsons, Owen, Urinary retention in men after total hip arthroplasty, J Bone Joint Surg, 68 A, (1986)

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