腹部叩诊-尿意法评估产后尿潴留可靠性研究  

Feasibility of assessing retention of urine by abdominal percussion-emiction sense

作　　者：孙婷婷[1] 

机构地区：[1]中国人民解放军总医院妇产科,北京市100853

出　　处：《中华护理杂志》2002年第4期249-250,共2页Chinese Journal of Nursing

摘　　要：目的 :为护士准确评估产妇残余尿量、及时发现尿潴留提供方便可行的方法。方法 :腹部叩诊—尿意法即产妇首次排尿后 ,护士由脐平向下间接叩诊 ,同时询问产妇有无尿意 ,将耻上叩诊出现尿意者定为叩诊尿潴留阳性。将 73例叩诊结果与B超法测量值比较。结果 :腹部叩诊 -尿意法诊断尿潴留与B超法测量结果趋于一致 ,其灵敏度为 96 .3%,特异度为 82 .6 %,符合率达 87.6 %。结论 :腹部叩诊 -尿意法能较准确、有效地评估残余尿量 ,是诊断尿潴留比较灵敏且简便易行的方法。Objective: To evaluate the feasibitity of assessing urinal capacity by the abdominal percussion-emiction sense. Method: Patients lie on her back after micturition, then nurses percuss the abdomen from the umbilicus downwards and ask the patient's emiction sense. The positive result of urinary retention is decided by the presentation of emiction sense, and comfirmed by B ultrasound measurement. Results: The rate of urine retention checked out by the new method is relatively accordant with the result of B ultrasound measurement. Its sensitivity is 96.3%.Its specialicity is 82.6%.Its agreement rate is 87.6%. Conclusion: Abdominal percussion-emiction sense is a simple effective method to identify post-partum retention of urine.

关 键 词：腹部叩诊 尿意法 评估 产后尿潴留 可靠性研究 叩诊 产后护理 

分 类 号：R714.46[医药卫生—妇产科学]