前列腺摘除患者术后并发不稳定膀胱原因分析及护理  

Causes and the Nursing Care of Unfixed Bladder Induced by Prostatectomy

作　　者：颜秀丽[1] 杨晓玲[1] 

机构地区：[1]中国人民解放军南京军区福州总医院泌尿外科,福建福州350025

出　　处：《护理学报》2006年第2期41-42,共2页Journal of Nursing（China）

摘　　要：报道416例前列腺摘除患者术后并发不稳定膀胱的原因分析及护理。术后出现不稳定膀胱45例(10.8%),原因有:导管对膀胱三角的刺激如术后留置气囊导尿管对膀胱三角的刺激,留置膀胱造瘘管深度不适宜导致滑脱或过度牵拉、弯曲受压、有凝血块堵塞,引起患者膀胱三角疼痛;冲洗液的温度过高、过低;炎症感染。经采取积极的护理措施,加强心理护理、管道护理、预防感染护理,缓解患者疼痛,维持冲洗液适宜的温度,均取得良好护理效果。认为前列腺摘除患者术后发生不稳定膀胱,经采取积极、准确护理措施,能及时解除患者的痛苦,促进康复。The paper focuses on analyzing the complicated unfixed bladders in 416 patients undergoing prostatectomy and concluding the nursing care measures. Forty-five cases were found complicated with unfixed bladders, accounting 10.8%, the causes including the stimulus of catheter to trigone of urinary bladder, shedding, over-drag, bends, coagulum-induced blockage of catheter from improper depth of indwelled stoma catheter, which resulted in pains in trigone of urinary bladder, the higher or lower temperature of irrigating solution, and infection from inflammation. They employed active nursing measures like enhanced mental care, intensified catheter care, prevention of infection, relief of pains, keeping proper temperature of irrigating solution, which all produced satisfactory nursing effect, The authors conclude the active nursing measures help relieve pains of the patients with unfixed urinary bladder after prostatectomy.

关 键 词：前列腺摘除术 不稳定膀胱 护理 原因 

分 类 号：R473.6[医药卫生—护理学] R699.8[医药卫生—临床医学]