自控镇痛患者拔尿管前膀胱灌洗预防尿潴留的护理研究  

Controlled Analgesia in Patients with Bladder Syringe before Pulling Catheter to Prevent Urinary Retention Study

作　　者：贺成香 陈雪媛 李小燕 

机构地区：[1]广东省乐昌市人民医院普外科,512200

出　　处：《医学理论与实践》2012年第3期271-272,共2页The Journal of Medical Theory and Practice

摘　　要：目的:改进术后自控镇痛患者拔尿管的方法,预防尿潴留的发生,最大限度减少患者的痛苦及感染的风险。方法:将120例非泌尿系手术患者随机分成两组,每组各60例。实验组于术后第2天镇痛泵拔除后,开始膀胱功能训练放尿2～3次,拔管前放空膀胱内尿液、行膀胱灌洗。对照组于术后第2天镇痛泵拔除后膀胱训练放尿2～3次,按气囊尿管拔除法拔管。结果:实验组有2例发生尿潴留,对照组有15例发生尿潴留,差异有统计学意义(P<0.01)。结论:术后持续镇痛患者拔尿管前行膀胱灌洗,可有效防止发生尿潴留。Objective：To improve patient-controlled analgesia after pulling catheter method to prevent the occurrence of urinary retention,minimize the suffering of patients and the risk of infection.Methods：120 patients with non-urological surgery were randomly divided into two groups,each group had 60 cases,Experimental group was given 2 days after removal of analgesia pump to start training put urinary bladder 2,emptying the bladder before extubation urine,bladder lavage.Control group after 2 days after according to extubation.Results：2 patients had urinary retention and the control group,15 patients had urinary retention,the difference was statistically significant（P0.01）.Conclusion：Patients with post-operative continuous pain before pulling bladder lavage catheter,which can effectively prevent the occurrence of urinary retention.

关 键 词：自控镇痛 膀胱灌洗 尿潴留 

分 类 号：R473.5[医药卫生—护理学]