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KMID : 0378019840270020191
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New Medical Journal
1984 Volume.27 No. 2 p.191 ~ p.197
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An Experimental Study on Reducing Post-Catheterization Bladder Dysfunction by Reconditioning
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한상임/Han, Sang Im
송경애/Sohng, Kyeong Yae
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Abstract
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The purpose of this study was to determine the effect of reconditioning upon bladder dysfunction caused by prolonged catheterization. 40 women undergoing Caesarian section operation after general anesthesia with baseline residural urine volumes (RUVs) not greater than 25m1 and catheterization duration 36 to 52 hours qualified as subjects selected randomly at Kangnam St. Mary´s Hospital from July 25 to November 18, 1983. Immediately prior to catheter removal, the treatment group subjects applied reconditioning, a procedure in which the catheters were clamped for three hours followed by five minutes of urinary drainage. This cycle was repeated twice more, totaling nine hours, ten minutes.
The 22 control group subjects applied no reconditioning.
The results were as follows;
l. The treatment group´s mean baseline RUV was 11.89±9.08ml and the control group´s was 5.05±6.95ml.
2. In post-indwelling catheterization RUVs following the first micturition, revealed statistically significant difference (p<0.001) between the treatment group(10.22±4.73) and the control group (23.22± 22. 92). The control group´s mean post-catheterization RUV increased 4.36 times over its mean baseline.
3. The mean resumption time was 116.67±88.43 minutes for the treatment group and 167.95±99.30 minutes for the control group. Comparing the length of time from indwelling catheter removal to the first micturition showed that the reconditioned group resumed natural bladder elimination significantly sooner than the control group (p<0.05).
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