The effect of intermittent versus continuous bladder catheterization on labor duration and postpartum urinary retention and infection: a randomized trial
The effect of intermittent versus continuous bladder catheterization on labor duration and postpartum urinary retention and infection: a randomized trial
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DOI：
10.1016/j.jclinane.2008.06.009
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发表时间：
2008-12-01
影响因子：
6.7
通讯作者：
Ezri, Tiberiu
中科院分区：
文献类型：
--
作者：
Evron, ShmueL;Dimitrochenko, Vladimir;Ezri, Tiberiu
研究目的：评估间歇性与连续性膀胱导管插入术对产程时间和局部麻醉剂消耗的影响。设计：随机、对照、前瞻性、单盲试验。设置：大学附属医院。患者：209名阿萨身体状况I和11名接受患者自控硬膜外镇痛分娩的产妇。干预措施：患者被随机分配到间歇性膀胱导管插入术组（IC组; n = 109）或连续导管组（CC组; n = 100）.测量：使用独立样本的t检验，通过组比较第二产程的持续时间、给予的局部麻醉剂的关闭和主要结果。主要次要结果是产后尿潴留和产后尿路感染率（UTI：无症状性尿路感染）。主要结果：CC组第二产程持续时间长于IC组：105 ± 172 vs. 75 ± 52 min（P = 0.002）。这一发现与CC组在两个产程阶段的局部麻醉剂量需求增加相关（73 +/- 25 mL vs. 63 +/- 26 mL; P = 0.005）。两个研究组的尿路感染发生率相似（30%）。结论：间歇性膀胱插管与第二产程缩短和局麻药减少有关，但两个插管组产后尿潴留和尿路感染的发生率相同。(C)2009 Elsevier Inc. All rights reserved.
Study Objective: To assess the effect of intermittent versus continuous bladder catheterization oil labor duration and local anesthetic consumption.Design: Randomized, controlled, prospective, single-blind trial.Setting: University-affiliated hospital.Patients: 209 ASA physical status I and 11, primiparous parturients who received patient-controlled epidural analgesia for labor.Interventions: Patients were randomly allocated to either the intermittent bladder catheterization group (Group IC; n = 109) or the continuous catheterization group (Group CC; n = 100).Measurements: Duration of the second stage of labor, close of local anesthetics given, and primary outcomes were compared by group using the t-test for independent samples. Main secondary outcomes were postpartum urinary retention and rate of postpartum urinary tract infection (UTI: asymptomatic bacteruria).Main Results: Duration of the second stage of labor was longer in Group CC than Group IC: 105 1 72 vs. 75 +/- 52 min (P = 0.002). This finding was associated with increased local anesthetic dose requirement in Group CC during both stages of labor (73 +/- 25 mL vs. 63 +/- 26 mL; P = 0.005). The rate of UTI was similar (30%) in both study groups.Conclusion: Intermittent bladder catheterization was associated with shorter second-stage labor and less local anesthetic, but the same frequency of postpartum urinary retention and UTI was seen with both catheterization groups. (C) 2009 Elsevier Inc. All rights reserved.