术后留置尿管拔除方法对排尿功能影响的临床观察  

The Effect of Urination by Different Method of Pulling Out Catheters after Surgery

作　　者：李英[1] 

机构地区：[1]四川省内江市第一人民医院,四川内江641000

出　　处：《中国医药指南》2011年第18期190-190,共1页Guide of China Medicine

摘　　要：目的探讨术后留置尿管拔除方法对排尿功能的影响。方法选择122例术后留置尿管病员随机分成观察组62例和对照组60例。观察组在拔除尿管前用生理盐水庆大霉素溶液行膀胱灌注,对照组按常规拔管,分别观察拔除尿管后第一次自行排尿情况。结果两种方法对排尿成功率、尿道刺激症状情况比较有统计学意义(P<0.05)。结论拔除尿管时,采用0.9%的生理盐水加庆大霉素行膀胱灌注后再拔除,对排尿功能影响小,排尿成功率高,可避免尿管拔除后发生尿道刺激症状及尿潴溜而再次重新留置尿管,减少尿路感染机会。Objective To explore the effect of urination by different method of pulling out catheters after surgery.Methods 122 patients with catheters were randomly divided into two groups： the experimental group（62） and the control group（60）.The patients in experimental group were treated by irrigation of the bladder with gentamicin plus saline before pulling out catheters,whereas usual method was used in control group.And observe the first independent urination after pulling out catheters.Results The significant difference were found in the successful rate of urination and irritative symptom of bladder between two groups（P〈0.05）.Conclusions After surgery,bladder perfusion with gentamicin plus saline and pulling out catheters could effectively alleviate irritative symptom of bladder and urinary retention,and induce the rate of urinary tract infections.

关 键 词：导尿管 膀胱灌注 排尿 

分 类 号：R692[医药卫生—泌尿科学]