留置导尿气囊前端尿管长度与膀胱痉挛及尿道口渗尿的关系研究  

The relationship between catheter length before the airbag and bladder spasms as well as urine leakage from urethra orifice in patients with indwelling urinary catheter

作　　者：马志君[1] 张春红[2] 仇兰香[2] 刘敏[3] 

机构地区：[1]徐州医学院附属第三医院急救中心,江苏徐州221003 [2]徐州医学院附属第三医院泌尿外科,江苏徐州221003 [3]徐州医学院附属第三医院手术室,江苏徐州221003

出　　处：《护理学杂志》2015年第16期50-52,共3页

基　　金：江苏省徐州市科技局资助项目(KC14SH085)

摘　　要：目的探讨气囊前端尿管长度与膀胱痉挛及尿道口渗尿的关系。方法将68例留置尿管患者随机分为A组(n=23)、B组(n=23)和C组(n=22)。A、B、C组选用气囊前端尿管长度分别为2.1cm、3.0cm及3.5cm的F18乳胶双腔气囊尿管,气囊注水均为10mL。尿管置入后24h观察三组膀胱痉挛及尿道口渗尿情况。结果三组膀胱痉挛及尿道口渗尿发生率比较,差异有统计学意义(P<0.05,P<0.01),A组发生率显著低于C组(均P<0.0125)。结论留置导尿选用气囊前端长度较短的尿管可降低膀胱痉挛发生率,减少尿道口渗尿的机会,从而减轻患者痛苦。Objective To explore the relationship between catheter length before the airbag and rates of bladder spasm as well as urine leakage from urethra orifice.Methods Sixty-eight patients with indwelling urinary catheter were randomized into group A（n=23）,groups B（n=23）and group C（n=22）.All patients utilized F18 latex double-cavity balloon catheter that filled with 10 mL water in the airbag,the length of balloon catheter before the airbag was 2.1cm,3.0cm and 3.5cm for Group A,Group B and Group C respectively.Bladder spasm and urine leakage were observed 24 hafter the catheter inserted.Results The rates of bladder spasm and urine leakage in the three groups were significantly different（P〈0.05,P〈0.01）,with the rates in group A lower than group C（P〈0.0125 for both）.Conclusion Selecting the balloon catheter with shorter length before the airbag reduces the rates of bladder spasm and urine leakage for patients requiring indwelling urinary catheter,and alleviates their suffering.

关 键 词：留置导尿 气囊尿管 尿管长度 膀胱痉挛 渗尿 

分 类 号：R472[医药卫生—护理学]