膀胱测压法评估产后尿潴留患者拔管时机的研究  

Extubation timing of patients with postpartum urinary retention by bladder pressure measurement

作　　者：张焕芳[1] 陈云[1] 杨帅[1] 李萃 ZHANG Huanfang;CHEN Yun;YANG Shuai;LI Cui(The Third Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong,510150)

机构地区：[1]广州医科大学附属第三医院,广东广州510145

出　　处：《实用临床医药杂志》2018年第14期111-113,共3页Journal of Clinical Medicine in Practice

基　　金：广州医科大学附属第三医院院内社会科学青年项目(2015Y05)

摘　　要：目的探讨膀胱测压法确定产后尿潴留患者拔管的时机。方法使用简易膀胱测压法对本院产后尿潴留患者47例进行膀胱内压力测定。结果因尿潴留留置尿管导出的尿量为(896.00±161.41)m L;不同尿意感患者拔出尿管后排尿是否顺畅比较差异有统计学意义(P<0.05);膀胱测压值<20 cm H_2O与≥20 cm H_2O患者排尿是否顺畅比较差异有统计学意义(P<0.05)。结论尿潴留留置尿管的患者当膀胱测压值≥20 cm H_2O时,拔除尿管后患者自解小便顺畅;应用膀胱测压能客观把握产后尿潴留患者拔除尿管的时间,减少经验性留置尿管和反复重插尿管造成的尿路感染,缩短患者住院时长。Objective To explore extubation timing of patients with postpartum urinary retention by bladder pressure measurement. Methods Intravesical pressure measurement was performed for 47 patients with postpartum urinary retention. Results The urine volume of patients with urinary retention indwelling catheter was（ 896. 00 ± 161. 41） m L. Significant differences were seen in different urination sensation patients and in patients with bladder pressure measurement values of 〈20 cm H2O and ≥20 cm H2O（ P〈0. 05）. Conclusion When bladder pressure measurement value is ≥20 cm H2O,the urination is smooth. Using bladder pressure measurement can objectively determine removal time of urinary catheter in postpartum urinary retention,reduce urinary tract infection caused by empiric indwelling catheter and repeated catheter,and shorten hospital stay.

关 键 词：膀胱测压 产后尿潴留 拔管 

分 类 号：R473.6[医药卫生—护理学]