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目的探讨妇科腹腔镜术后拔除导管时间与胃肠功能恢复时间的相关性。方法选取我院行妇科腹腔镜手术患者78例，随机将其分为对照组和观察组，每组各39例。其中对照组患者术后24h拔除导尿管，随意活动；观察组患者术后12h拔除导尿管，早期活动。记录两组患者拔管后的排尿情况、排便情况及术后并发症发生情况。结果观察组患者的肠鸣音恢复时间、首次排气时间、首次自行排尿时间、首次排便时间均短于对照组，差异均有统计学意义（<0.05）；观察组患者腹胀、尿路刺激征及尿潴留发生率均明显低于对照组，差异均具有统计学意义（<0.05）。结论妇科腹腔镜术后早拔除导尿管，有助于加快患者胃肠蠕动恢复，缩短排气、排尿及排便时间，降低并发症发生率，有利于患者术后康复。“,”Objective To investigate the correlation between catheter time and recovery time of gastrointestinal function after gynecological laparoscopic surgery. Methods 78 patients with gynecological laparoscopic surgery in our hospital were selected and randomly divided into two groups, 39 cases in the control group. The catheter for patients was removed 24h after surgery, and had free activities. The catheter for patients was removed 12h after surgery, and had early activities. Observation indicators included the catheter urination, defecation and complications after surgery about the two groups after removal. Results Compared with control group, the recovery time of bowel sounds, the first exhaust time, the first time to urinate, first time to defecate in observation group were shorter than that of the control group, the dif erence was statistical y significant ( <0.05). The incidence of abdominal distension, urinary tract ir itation and urinary retention in the observation group was significantly lower than that of the control group, the dif erences were statistical y significant ( <0.05). Conclusion Early removal of the catheter was enables faster recovery of bowel movement, reduce of exhaust time, urination and defecation time, reduce the incidence of complications, is conducive to the rehabilitation of patients after surgery.