气囊自动回缩拔除尿管法在围术期患者中的应用  

Application of Balloon-Retract Urethral Catheter Method for Patients During the Perioperative Period

作　　者：季衍丽[1] 刘芳[2] 马官英[2] 张雅静[1] Ji Yanli;Liu Fang;Ma Guanying;Zhang Yajing(Department of Neurology II,General Hospital of PLA,Beijing 100853,China;Department of Neurosurgery, General Hospital of PLA)

机构地区：[1]解放军总医院神经内科二病区,北京100853 [2]解放军总医院神经外科病区

出　　处：《解放军护理杂志》2017年第22期74-76,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的本研究通过在围术期患者中应用气囊自动回缩拔除尿管法,寻找能够减轻尿道黏膜损伤的新拔管方法。方法2015年3-8月,采用方便抽样法选取北京市某三级甲等医院神经内科和神经外科110例留置导尿患者为研究对象。根据计算机数字随机分组法将患者分为观察组(57例)和对照组(53例)。对照组采用常规拔除尿管的方法,观察组采用气囊自动回缩拔除尿管法;比较两组患者拔除尿管时的尿道疼痛评分、首次排尿尿道疼痛评分、首次排尿前段尿液的红细胞阳性率。结果观察组患者拔除尿管时尿道疼痛、首次排尿尿道疼痛评分明显低于对照组,患者首次排尿前段尿液红细胞阳性率均低于对照组,差异均有统计学意义(均P<0.05)。结论气囊自动回缩拔除尿管法能够减轻围术期留置导尿患者的尿道黏膜损伤,减轻患者痛苦,值得在围术期患者中推广应用。Objective To study the application of balloon retract urethral catheter method for patients during the perioperative period,in order to find out a new method of removing urethral catheter and reduce the damage of urethral mucosa damage.Methods By convenience sampling,110cases were selected and randomly divided into observation group(n=57)and control group(n=53).The control group received routine urethral catheter removing method,while the observation group was applied with balloon retract urethral catheter method.The pain score during the removing,the pain score during the first urination and the positive rate of red cell in the first forepart urine samples were compared.Results The pain score during the removing the pain score during the first urination and the positive rate of red cell were lower than that of control group(all P<0.05).Conclusion The balloon retract method for removing urethral catheter can reduce the damage on the urethral mucosa for patients during the perioperative period,which is worth of clinical promotion.

关 键 词：导尿管 导尿管拔除 围术期 应用研究 气囊 回缩 

分 类 号：R472.9[医药卫生—护理学]