这项研究围绕一个值得麻醉医生关注的围术期临床问题展开。 因此，真正需要回答的问题是：标准化医院尿管管理协议对下肢骨科手术后儿童尿管使用的影响？
下面这篇文献将回答这个问题。
文献英文标题
Impact of Institutional Protocol on Urinary Catheter Outcome Measures in Orthopedic Children Treated With Epidural Analgesia.
英文摘要要点
Methods: Single-center, retrospective, observational study on children who met the above criteria in the study period before (1/2019-6/2021) and after (7/2021-7/2023) initiation of a urinary catheter management protocol. The protocol mandated intra-operative urinary catheter placement and early removal on postoperative day 1, while continuing epidural analgesia as long as 5 days.
Results: A total of 93 children were included in this study: 47 before and 46 after initiation of the protocol. Demographic data were similar. Children treated according to the new protocol required significantly fewer ward urinary catheter insertions (2.2% vs. 19.1% respectively, p = 0.003) and had significantly faster removal of urinary catheter (1 [1-1] vs. 3 [2-3] days, p < 0.001) without subsequent urinary catheter insertion despite similar epidural analgesia duration. There was no difference in occurrence of urinary tract infection.
Conclusions: Implementation of a standardized institutional urinary catheter management protocol, mandating intraoperative catheter placement and removal on postoperative day 1, despite ongoing epidural analgesia, was associated with reduced urinary catheter duration and fewer postoperative ward catheter insertions in pediatric patients undergoing major lower-limb orthopedic surgery.
文献标题中文翻译
请在工作台补充或校正文献标题中文翻译
文献简介
当前任务未提供全文 Introduction；本文简介根据英文摘要背景部分作保守整理，具体研究背景仍建议结合原文 Introduction 核对。
本文采取的研究方法
本研究方法需结合英文摘要 Methods 原文和全文方法部分解读；重点关注研究对象、分组方式、干预措施、主要结局、随访时间点和统计分析是否足以支持作者结论。
主要结果
主要结果需结合英文摘要 Results 原文逐项核对；解读时应区分统计学差异、临床意义和机制实验所能支持的推断强度。
文章得出的结论
文章结论应以英文摘要 Conclusions 原文和全文 Discussion 为准；摘要层面适合表述为研究提示或作者认为，不宜直接写成确定性临床推荐。
关于这个话题我们已知什么
既往研究提示，围术期结局通常受基础疾病、麻醉镇痛策略、炎症反应和术后管理等多因素影响，单篇研究需要放在既有证据框架中理解。
这篇文章告诉我们什么新内容
这篇文献的新增价值在于围绕一个明确临床问题提供了新的研究线索；其新意、证据强度和可推广性仍需结合全文方法和既有证据判断。
对麻醉医生的临床启示
对麻醉医生而言，这项研究更适合作为围术期管理线索，而不是立即改变常规实践的单一依据；临床应用仍需结合患者风险、监护条件和现有指南。
谨慎解读与局限性
摘要层面信息有限，研究设计、样本量、偏倚控制、随访时间和结局定义均需结合全文确认；不宜将单篇研究结果直接外推为常规临床推荐。
参考文献
Impact of Institutional Protocol on Urinary Catheter Outcome Measures in Orthopedic Children Treated With Epidural Analgesia. Paediatric anaesthesia. 2026. doi:10.1002/pan.70218. PMID: 42132796.
声明：本文由 CME 麻醉论坛 AI 编辑助手根据公开资料辅助生成，并经专业人员审核后发布。内容仅供医学教育与学术交流，不替代临床诊疗决策。