改良拔尿管法在神经外科病人护理中的应用效果观察  

Observation of the practice effect of the improved pull out method for indwelling urinary catheter of neuro-surgery patients

作　　者：黎艳[1] 梁娟铭[1] 杜芸[1] 青燕[1] 陈小珍[1] 兰艳[1] 曹彩珍[1] 江冬梅[1] 

机构地区：[1]广西壮族自治区人民医院神经外科,南宁530021

出　　处：《中国临床新医学》2011年第9期877-879,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西卫生厅自筹经费科研课题(编号:Z2007167)

摘　　要：目的探讨改良留置导尿管拔除法在神经外科病人护理中的应用效果。方法将100例留置导尿管的手术病人随机分为对照组和实验组各50例,对照组按常规方法在接到拔尿管医嘱后直接用无菌注射器抽尽气囊内的液体,随后将尿管拔出;实验组采用NS250ml+庆大霉素16万U+地塞米松10mg在拔管前以15～20 ml/min滴入膀胱并保留至患者有尿意,将无菌注射器接气囊管道的外口,让气囊内的液体自行流至注射器内,直至无液体流出,再缓缓拔除尿管。结果两组病人在拔除尿管后首次排尿时出现的异常症状、第一次排尿时间及平均时间及拔管后血尿发生情况比较,差异均有统计学意义(P<0.05)。结论在神经外科术后留置导尿管的病人中,应用改良尿管拔除法,能有效地减少尿管拔除后首次排尿时出现的异常症状,减少黏膜的损伤及再次导尿的机会,减轻了病人躯体上和精神上的痛苦,值得推广应用。Objective To explore the practice effect of the improved pull out method for indwelling urinary catheter of neurosurgery patients. Methods One hundred postoperative general surgery patients with indwelling catheter were randomly divided into two groups ,50 patients in each group. In the control group nurse sucked all the water in the cather water 6allon with sterile syn＇nye,then pulled out the urinary catheter when the patients feeling urination. Patients in the observation group were injected 250 ml of medicine water before the catheter was pulled out, when the patients feeling urination, nurse linked the water ballon with storile syfinye,let the water run off by oneself, and then pulled out the urinary catheter. Results The difference in the abnormal symptom at first urination, the average time of first urination, the numbers of patients with blood urine bewteen two groups were statistically significant（ P 〈 0. 05）. Conclusion The improved pull out method for indwelling urinary catheter will decrease the abnormal symptoms, decrease the harm of mucosa and the opportunity of again catheterization, decrease sufferings of the patients of the neurosurgery postoperative patients.

关 键 词：留置尿管 拔尿管方法 护理 

分 类 号：R473.6[医药卫生—护理学]