永久性膀胱造瘘患者应用多功能膀胱造瘘引流管的临床疗效观察  

Application of the multifunction bladder stoma drainage in the patients with permanent cystostomy

作　　者：董海静[1] 刘志梅[2] 刘玉娟[3] 

机构地区：[1]青岛市市立医院本部泌尿外科,266011 [2]青岛市市立医院本部泌尿外科,护理部,266011 [3]青岛市市立医院本部泌尿外科,营养科,266011

出　　处：《中华现代护理杂志》2014年第30期3888-3890,共3页Chinese Journal of Modern Nursing

基　　金：青岛市医药科研指导计划项目

摘　　要：目的：探讨永久性膀胱造瘘患者应用多功能膀胱造瘘引流管的临床效果。方法将67例永久性膀胱造瘘患者用抓阄法随机分为观察组和对照组，32例观察组患者使用多功能膀胱造瘘引流管，35例对照组患者使用普通气囊导尿管，观察并比较两组患者膀胱痉挛持续时间、管道阻塞及尿液细菌阳性率情况。结果观察组患者膀胱痉挛平均持续时间、每日次数、持续天数为（3．65±1．93） min，（4．24±2．68）次，（4.33±2．72）d，均低于对照组[（8．84±3．59）min，（12．38±5．22）次，（10．91±4．57）d]，差异有统计学意义（t值分别为-7．21，-7．87，-7．01；P＜0．01）。观察组患者管道阻塞为3次，对照组为11次，两组比较差异有统计学意义（χ^2＝4．92，P＜0．05）。两组患者尿液细菌培养阳性率比较差异无统计学意义（χ2＝0.20，P＞0．05）。结论多功能膀胱造瘘引流管应用于永久性膀胱造瘘患者能够降低膀胱痉挛的发生率，保证管道引流通.，值得临床推广应用。Objective To explore the clinical effect of multifunction bladder stoma drainage on the patients with permanent cystostomy .Methods Sixty-seven patients with permanent cystostomy were chosen and divided into the control group （ n=35） and the experimental group （ n=32） .The control group used the common balloon catheter , and the experimental group used the multifunction bladder stoma drainage .The cystospasm , pipeline blockage and bacteriuria were compared between two groups .Results The average duration , daily times, continuous days of cystospasm were respectively （3.65 ±1.93）min, （4.24 ±2.68）times,（4.33 ±2.72）d in the experimental group, and were lower than （8.84 ±3.59）min,（12.38 ±5.22）,（10.91 ±4.57）d in the control group, and the differences were statistically significant （t=-7.21,-7.87,-7.01, respectively;P〈0.01）. The number of pipeline blockage was 3 times in the experimental group , and was 11 times in the control group , and the difference was statistically significant （χ^2 =4.92,P〈0.05）.No difference was found in the positive rate of urine culture between two groups （χ2 =0.20,P〉0.05）.Conclusions Application of the multifunction bladder stoma drainage in the patients with permanent cystostomy can decrease the incidence rate of cystospasm so as to ensure the pipeline unobstructed , and is worthy of clinical promotion and application .

关 键 词：膀胱造口术 膀胱痉挛 管道阻塞 多功能膀胱造瘘引流管 

分 类 号：R694.6[医药卫生—泌尿科学]