长期留置气囊导尿管漏尿患者的护理体会  

Nursing management of urine leakage in patients with long-term indwelling urinary balloon catheter

作　　者：常丽[1] 黄丹妮[1] CHANG Li;HUANG Danni(Department of Respiratory Medicine, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, 510405)

机构地区：[1]广州中医药大学第一附属医院呼吸科,广东广州510405

出　　处：《中西医结合护理（中英文）》2018年第4期122-124,共3页Journal of Clinical Nursing in Practice

摘　　要：目的总结长期留置气囊导尿管漏尿患者的护理对策。方法 40例长期留置气囊导尿管出现漏尿患者随机分为观察组和对照组。对照组仅采用向气囊内加注3 mL无菌注射用水;观察组在对照组基础上采取中药封包外敷腹部联合呋喃西林溶液温热膀胱冲洗。结果观察组继续漏尿2例(10.00%),低于对照组的15例(75.00%),差异有统计学意义(P<0.05)。结论针对留置气囊导尿管漏尿患者,抽空气囊中的无菌注射用水后将尿管消毒后再插入1~2 cm,将抽出的无菌水增加3 mL后注入气囊,同时给予中药封包外敷腹部联合呋喃西林溶液温热膀胱冲洗,能有效预防留置气囊导尿管漏尿患者再次漏尿。Objective To summarize the nursing management of urine leakage in patients with long-termindwelling urinary balloon catheter. Methods To tally 40 patients with long-termindwelling urinary balloon catheter suffering urine leakage were randomly divided into the observation group（ n = 20） and the control group（ n = 20）. Both two groups were treated with extra injection of 3 ml of sterile water into balloon after catheter replacement,and the observation group was given externally application of Chinese herbs package and bladder irrigation with liquor nitrofurazone. Results There were 2（10. 00%） patients in the observation group and 15（75. 00%）patients in the control group with recurrence of urine leakage,with a significant difference（ P〈0. 05）. Conclusion In addition to extra injection of 3 ml of sterile water into balloon after catheter replacement,the application of Chinese herbs package and bladder irrigation with warmliquor nitrofurazone can effectively reduce the recurrence of urine leakage in patients with long-termindwelling urinary balloon catheter.

关 键 词：留置导尿 漏尿 中药 膀胱冲洗 

分 类 号：R473.74[医药卫生—护理学]