髋关节置换术患者侧卧位导尿效果观察  

Effectiveness of urethral catheterization with lateral position in hip replacement

作　　者：黎桂芳[1] 钟文慧[1] 翁丽芳[1] 黄珠群[1] 李丽华[1] 黄丽萍[1] 林丽芳[1] 

机构地区：[1]广东省中医院珠海医院手术室,广东珠海519015

出　　处：《护理学杂志》2011年第20期4-5,共2页

摘　　要：目的探讨髋关节置换术患者侧卧位留置导尿管操作流程及其效果。方法将60例髋关节置换术患者按手术时间的单双日分为对照组和观察组各30例。对照组按常规方法于椎管内麻醉后置平卧位行导尿术,导尿后摆放手术体位;观察组椎管内麻醉后(患肢在上)不改变体位(侧卧位)实施导尿术。结果观察组皮肤损伤、尿道损伤、一次性导尿成功率与对照组比较,差异无统计学意义(均P>0.05);切口标记移位和手术准备时间与对照组比较,差异有统计学意义(P<0.05,P<0.01)。结论髋关节置换术患者麻醉后采取侧卧位导尿,有利于缩短手术准备时间,避免手术切口标记移位。Objective To explore operating process and effectiveness of urethral catheterization in lateral position for hip replacement.Methods Sixty patients undergoing hip replacement were divided into two groups of 30 according to odd or even numbers of surgery dates.The control group received urethral catheterization in supine position after spinal anesthesia and then patients were placed in operative position.The observation group received urethral catheterization in lateral position after spinal anesthesia,with the affected limb being placed on top of the other.Results The skin injury,urethral injury and rate of successful first-time catheterization showed no significant differences between the 2 groups（P0.05 for all）.Displacement of incision mark and preparation time for surgery had significant differences between the 2 groups（P0.05 for both）.Conclusion Urethral catheterization in lateral position for hip replacement after spinal anesthesia could help shorten preparation time for surgery and avoid displacement of incision mark.

关 键 词：髋关节置换术 侧卧位 导尿 椎管内麻醉 皮肤损伤 尿道损伤 标记移位 

分 类 号：R472.3[医药卫生—护理学]