简易膀胱测压降低骨科留置尿管患者拔管后重插尿管的临床研究  

Clinical study of simple bladder manometry in reducing urinary catheter after extubation for orthopedic patients undergoing indwelling catheter

作　　者：何玉红[1] 黄锦依[1] 徐晓艳[1] 

机构地区：[1]广州医科大学附属第二医院,510260

出　　处：《中国实用医药》2017年第30期27-29,共3页China Practical Medicine

摘　　要：目的观察简易膀胱测压对降低骨科留置尿管患者拔管后重插尿管的临床效果。方法 80例腰部及下肢手术患者,按照随机数字表原则分为对照组和研究组,每组40例。对照组使用常规方法进行留置尿管拔管,未使用简易膀胱测压;研究组在拔尿管之前进行简易膀胱测压,观察比较两组患者的首次排尿时间、排尿量、尿路刺激征及重插管情况。结果研究组患者的首次排尿时间为(4.55±1.65)h、首次排尿量为(345.65±63.75)ml,明显优于对照组的(3.75±1.45)h、(275.80±35.45)ml,差异具有统计学意义(P<0.05)。研究组患者发生尿路刺激征6例,明显少于对照组的14例,差异具有统计学意义(P<0.05)。研究组患者的重插管率为5.00%,明显低于对照组的20.00%,差异具有统计学意义(P<0.05)。结论简易膀胱测压可以有效降低骨科留置尿管患者拔管后重插尿管情况,在临床工作中有很大的应用价值,建议临床广泛推广使用。Objective To observe the clinical effect of simple bladder manometry in reducing urinary catheter after extubation for orthopedic patients undergoing indwelling catheter. Methods A total of 80 patients with lumbar and lower extremity surgery were divided by random number table method into control group and research group, with 40 cases in each group. The control group received conventional method for extubation of indwelling catheter instead of simple bladder manometry, and the research group received simple bladder manometry before extubation of urinary catheter. Observation and comparison were made on first urination time, urinary volume, urinary irritation and re-intubation condition between two groups. Results The research group had first urination time as （4.55 ± 1.65） h, first urination volume as （345.65 ± 63.75） ml, which were all obviously better than （3.75 ± 1.45） h and （275.80 ±35.45） ml in the control group, and their difference was statistically significant （P〈0.05）. The research group had obviously less number of urinary irritation as 6 cases than 14 cases in the control group, and the difference was statistically significant （P〈0.05）. The research group had obviously lower re-intubation rate as 5.00% than 20.00% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Simple bladder manometry can effeetively reduce urinary catheter after extubation for orthopedic patients undergoing indwelling catheter, and has great application value in clinical work. It is recommended to be widely promoted and used in clinic.

关 键 词：简易膀胱测压法 骨科留置尿管 膀胱内压 尿路刺激征 

分 类 号：R473.6[医药卫生—护理学]