永久性膀胱造瘘患者导尿管气囊前端长度对膀胱痉挛的影响  

Effect of the different length of urethral catheter before the balloon on the cystospasm in patients with permanent cystostomy

作　　者：董海静[1] 李华伟[2] 

机构地区：[1]青岛市市立医院泌尿外科,266011 [2]青岛大学医学院护理学院

出　　处：《中华护理杂志》2012年第10期880-882,共3页Chinese Journal of Nursing

摘　　要：目的探讨导尿管气囊前端长度与永久性耻骨上膀胱造瘘患者膀胱痉挛的相互关系,以及影响膀胱痉挛的相关因素。方法对佩戴气囊前端长度不同的膀胱造瘘患者进行回顾性分析,对其膀胱痉挛情况进行尿动力学检测。结果随着气囊前端长度的降低,逼尿肌过度活动发生率、每日发生膀胱痉挛的次数、每次平均持续时间、累计发作天数也逐渐降低,差别有统计学意义(P<0.05)。年龄、腰围、置管时间与膀胱痉挛无明显相关(P>0.05)。结论永久性膀胱造瘘患者应选用气囊前端长度较短的导尿管,以降低膀胱痉挛的发生,减少逼尿肌过度活动;年龄、腰围、置管时间均不是影响膀胱痉挛的相关因素。Objective To investigate the relationship between cystospasm and the length of urethral catheter before the balloon in patients with permanent cystostomy,and analyze the relevant factors of eystospasm. Methods Totally 101 permanent cystostomy patients with different length of urethral catheter before the balloon were recruited in this study. The results of urodynamic testing,frequency and duration of cystospasm,cumulative attack days were retrospectively analyzed. Moreover,the possi- ble impact of age,waist circumference and the indwelling time on cystospasm was analyzed. Results With the reducing length of urethral catheter before the balloon,the incidence of bladder overaetivity,frequency and duration of cystospasm,cumulative attack days were significantly reduced accordingly（P〈0.05）. The patients＇ age,waist circumference and the indwelling time were not significantly related to cystospasm（P〉0.05）. Conclusions It is suggested to choose short length of urethral catheter before the balloon for patients with permanent eystostomy,so as to reduce cystospasm and bladder overactive. Age,waist circumference and the indwelling time are not related to cystospasm.

关 键 词：导尿管插入术 膀胱造口术 膀胱痉挛 临床分析 

分 类 号：R472[医药卫生—护理学]