骨创伤术后改良拔尿管方法与初次排尿等待时间及拔管相关问题研究  

Study on the improved method of urinary catheter removal after bone trauma and the waiting time for first urination and related issues

作　　者：陈佳琦 张晓岚[2] 张德娟[2] CHEN Jia-qi;ZHANG Xiao-lan;ZHANG De-juan(School of Nursing,Gansu University of Traditional Chinese Medicine,Lanzhou 730000,China;Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China)

机构地区：[1]甘肃中医药大学护理学院,甘肃兰州730000 [2]甘肃省中医院,甘肃兰州730050

出　　处：《吉林医学》2021年第8期1991-1993,共3页Jilin Medical Journal

摘　　要：目的:对骨创伤术后患者采用改良方法拔除尿管,促进患者早期建立自主排尿反射、顺利自行排尿。方法:在创伤骨科随机挑选196例术后留置尿管的患者,对照组98例在医嘱下达后待患者膀胱充盈时拔管;试验组98例在术后24 h内拔除尿管,待膀胱处于充盈状态时,引流出尿液200 ml,抽尽尿管前端气囊内的液体后回注0.3~0.5 ml空气,同时借助患者自主排出尿液的过程,顺势拔管。拔管后督促患者其15~20 min内饮水500~1000 ml。观察两组患者拔管后排尿及拔管相关问题发生情况。结果:拔管后观察初次排尿等待时间及排尿量,试验组与对照组比较,差异有统计学意义(P<0.01)。两组拔管相关问题发生情况经统计学分析,差异无统计学意义(P>0.05)。结论:试验组所用方法有利于患者拔管后尿液的早期生成、有效缩短初次排尿等待时间,促进患者膀胱功能的早期恢复。此外,两种拔管方法均可发生不同程度的拔管相关问题。Objective This study used an improved method to remove the urinary catheter in patients after bone trauma,so as to promote the early establishment of spontaneous urination reflex and smooth urination.Method 196 patients with indwelling catheters were randomly selected from the Department of Traumatology and Orthopedics,98 cases in the control group:extubation after the doctor's order was given and the patient's bladder was filled;98 cases in the experimental group:the catheter was removed within 24 hours after surgery When the bladder is in a full state,200 ml of urine will be drained,and 0.3~0.5 ml of air will be reinjected after exhausting the liquid in the airbag at the front of the urinary tube,At the same time,with the help of the patient's voluntary discharge of urine,the catheter will be extubated,After extubation,the patient is urged to drink 500~1000 ml of water within 15~20 min,Observe the occurrence of urination and related problems after extubation in the two groups.Results The waiting time for the first urination and the amount of urination were observed after extubation,Compared with the control group,the test group had a P value of<0.01,The occurrence of extubation related problems in the two groups was statistically analyzed(P>0.05).Conclusion The method used in the experimental group is beneficial to the early production of urine after extubation,effectively shortening the waiting time for the first urination,and promoting the early recovery of the bladder function of the patients,In addition,the two extubation methods can have different degrees of extubation related problems.

关 键 词：改良尿管拔管方法 骨创伤术后 初次排尿等待时间 

分 类 号：R473.6[医药卫生—护理学]