改良“工”字型尿管固定在脑卒中患者中的应用效果  

Effect of improved “工”type urinary catheter fixation in treatment of patients with stroke

作　　者：吴祥凤[1] 

机构地区：[1]江苏省扬州市江都人民医院护理部,江苏扬州225200

出　　处：《实用临床医药杂志》2015年第20期20-22,共3页Journal of Clinical Medicine in Practice

摘　　要：目的观察改良"工"字型高举平台法固定尿管在神经内科脑卒中患者中的应用效果。方法将本院神经内科收治的脑卒中且留置尿管的患者124例按入科顺序随机分成对照组和观察组各62例患者,对照组采用常规双"高举平台"法将尿管固定在大腿内侧上方1/3处,观察组在双"高举平台"法的基础上,改用"工"字型胶带固定尿管在下腹部。结果观察组发生胶带松脱或脱管3例(4.8%)及尿路损伤8例(12.9%),而对照组发生胶带松脱或脱管13例(21.0%)、尿路损伤22例(35.4%),2组差异有统计学意义(P<0.05)。结论神经内科脑卒中患者采用改良"工"字型高举平台法固定尿管,可有效减少胶带松脱和脱管的发生,减轻尿管牵拉疼痛,减轻患者痛苦。Objective To observe the effect of improved ＂工＂type urinary catheter fixation in treatment of patients with stroke. Methods A total of 124 stroke patients with urinary catheter in the neurosurgery ward were randomly divided into control group and observation group,62 cases in each group. The urinary catheter in the control group was located in the one third of inner thighs（ conventional＂Raised- Platform＂method）,while the urinary catheter in the observation group was fixed on abdomen by using ＂工＂type adhesive tape on the basis of the control group. Results Incidence of pipe- loose or extubation and urethral injury were 3 cases（ 4. 8%） and 8 cases（ 12. 9%）in the observation group,which were 13 cases（ 21. 0%） and 22 cases（ 35. 4%） in the control group,and there were significant differences between the two groups（ P 0. 05）. Conclusion Application of improved ＂工＂type urinary catheter fixation in treatment of stroke patients can effectively reduce the incidence of pipe- loose or extubation and urethral injury,reduce the stretch pain of urethral ducts and alleviate the sufferings of patients.

关 键 词：留置尿管 尿管固定 脑卒中 尿路损伤 护理质量 

分 类 号：R472.9[医药卫生—护理学]