尿动力监控仪定时夹闭尿管对短期留置尿管患者膀胱功能恢复的影响  

Effects of timed clamping catheter by urinary dynamic monitor on bladder function rehabilitation of patients with short-term indwelling catheter

作　　者：刘雪欢 邵薇薇[1] 张勇[1] Liu Xuehuan;Shao Weiwei;Zhang Yong(Department of Urinary Surgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院泌尿外科,100070

出　　处：《中华现代护理杂志》2020年第22期3005-3009,共5页Chinese Journal of Modern Nursing

基　　金：北京市医管局“扬帆计划”重点医学专业(ZYLX201820);北京市百千万人才工程(2018A08)。

摘　　要：目的:探讨应用尿动力监控仪模拟膀胱正常充盈排空的生理功能后短期留置尿管患者膀胱功能恢复的情况。方法:选取2019年5—7月首都医科大学附属北京天坛医院泌尿外科的术后短期留置导尿管患者60例,按照随机区组的方法分为观察组和对照组,各30例。患者术后由护士将尿管连接到尿动力监控仪,对照组选用畅通引流模式持续引流尿液,观察组选用定时模式每3小时自动开放尿管1次,每次开放5 min。比较两组患者拔出尿管后首次尿意时间、首次排尿时间、首次排尿量、住院费用、留置尿管时间、住院时间、膀胱痉挛的发生率、有症状的尿路感染发生率、自主神经反射亢进发生率和再插管率等指标,评估夹闭尿管对膀胱功能的影响。结果:对照组的首次尿意时间为(104.00±29.88)min,首次排尿时间为(135.90±29.76)min,首次排尿量为(250.17±60.18)ml。观察组的首次尿意时间为(122.10±37.18)min,首次排尿时间为(160.33±36.11)min,首次排尿量为(327.17±88.59)ml。观察组首次尿意时间、首次排尿时间长于对照组,首次排尿量大于对照组,差异有统计学意义(P<0.05)。两组患者住院费用、留置尿管时间、住院时间、膀胱痉挛的发生等比较,差异无统计学意义(P>0.05)。两组患者均未发生有症状的尿路感染、植物神经反射亢进和因为尿潴留而再次插管。结论:术后患者短期留置尿管期间应用尿动力监控仪模拟膀胱充盈排空功能,对维持膀胱功能有效且安全,对于泌尿外科术后短期留置尿管的患者可以应用定时夹闭尿管模式来训练膀胱。Objective:To explore the recovery of bladder function in patients with short-term indwelling catheter after urinary dynamic monitor simulated the physiological function of normal filling and emptying of bladder.Methods:From May 2019 to July 2019,a total of 60 patients with short-term indwelling catheters after operation in Department of Urinary Surgery in Beijing Tiantan Hospital of Capital Medical University were selected.According to the method of random block,they were divided into the observation group and the control group,with 30 cases in each group.After the operation,urinary catheters of patients were connected to urinary dynamic monitors by nurses.The control group adopted the smooth drainage mode to continuously drain urine while the observation group adopted the timed mode to automatically open the urine tube once every 3 hours for 5 min each time.The time for first intention to urinate after catheter removal,the first urination time,the first urination volume,hospitalization expense,date of indwelling catheter,date of hospitalization,incidence of bladder spasm,incidence of symptomatic urinary tract infections,incidence of autonomic hyperreflexia and reintubation rate were compared between two groups to evaluate effects of clamping catheter on bladder function.Results:In the control group,time for first intention to urinate was(104.00±29.88)min,the first urination time was(135.90±29.76)min and the first urination volume was(250.17±60.18)ml.In the observation group,time for first intention to urinate was(122.10±37.18)min,the first urination time was(160.33±36.11)min and the first urination volume was(327.17±88.59)ml.The time for first intention to urinate and first urination time in the observation group were longer than those in the control group while the first urination volume was greater than that in the control group,and the differences were statistically significant(P<0.05).There was no significant difference between the two groups in hospitalization expense,date of indwelling catheter,date

关 键 词：引流术 留置尿管 夹闭尿管 膀胱功能训练 尿动力监控仪 

分 类 号：R472.9[医药卫生—护理学]