泌尿灵对长期留置尿管病人拔管后排尿的影响  

Effect of Miniaoling on Urination of Extraction in Patients With Long-term Indwelling Catheter

作　　者：王菊廷[1] 陈汝纯[1] 何淑贤[1] 班志娟[1] 卢云洁[1] 

机构地区：[1]广西钦州市第一人民医院,535000

出　　处：《护理研究》2001年第4期198-199,共2页Chinese Nursing Research

摘　　要：为探讨长期留置尿管病人拔管后排尿一次成功的有效措施 ,随机将 165例留置尿管 10d以上病人分为观察 1组、观察 2组及对照组。 3组病人均在膀胱充盈时拔出尿管 ,观察 1组拔管前 30min口服泌尿灵 0 .4g ,拔管时肛门内注入开塞露 2 0ml ;观察 2组拔管时肛门内注入开塞露 2 0ml ;对照组采用常规拔尿管法。结果显示 :观察 1组病人拔管后均一次排尿成功 ,观察 2组一次排尿成功率 72 .7% ,对照组一次排尿成功率 5 6.0 %。拔管后 3d内 3组排尿异常率分别为 5 .0 %、38.2 %、5 2 .0 %。经 χ2检验 ,有统计学意义 (P <0 .0 1)。提示 :泌尿灵与开塞露联合用药可显著提高长期留置尿管病人拔管后排尿成功率 ,并可明显减轻病人拔管后排尿疼痛的痛苦。To probe into an effective way of one-time successful urination after extraction for patients with long-term indwelling catheter, 165 cases with indwelling catheter more than 10 days long were divided into test 1, test 2, and control groups. All patients in 3 groups extracted the catheter when they were filling of bladder. Patients in test 1 were taken Miniaoling 0.4g before the extraction and meantime they were given 20ml Kaisailu via anus. While patients in test 2 were only given 20ml Kaisailu via anus when catheter was extracted. The patients in control group were extracted routinely. Results showed that all patients in test 1 group one-time urinated well. One-time urination success rate of patients in test 2 group was 72.7%. In control group, one-time urination success rate of patients was 56.0%. 3 days after the extraction, urination abnormal rates of patients in test 1, test 2, and control group were 5.0%, 38.2%, and 52.0% respectively(χ 2 test,P<0.01). Suggested that Miniaoling combined with Kaisailu clearly elevated the successful urination rate of the patients with long-term indwelling catheterization, and also abated urination pains of patients after their extraction.

关 键 词：留置尿管 泌尿灵 开塞露 排尿 成功率 

分 类 号：R472.92[医药卫生—护理学]