不同留置导尿管外固定方法对神经内科男性患者短期留置导尿的影响  

Effect of different external fixation methods of indwelling catheter on short-term indwelling catheterization in male patients in neurology department

作　　者：许宾 XU Bin(Traditional Chinese Medicine Hospital of Kuandian Manchu Autonomous County,Dandong 118200,China)

机构地区：[1]宽甸满族自治县中医院,118200

出　　处：《中国现代药物应用》2022年第4期47-49,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨不同留置导尿管外固定方法对神经内科男性患者短期留置导尿的影响。方法156例神经内科需要导尿的男性患者,根据导尿管外固定方式不同分为对照组(51例)、内侧组(52例)和下腹组(53例)。对照组患者不给予导尿管外固定,仅从一侧腹股沟附近走行而出固定于床旁下;内侧组患者将导尿管固定于大腿前内侧而后固定于床旁下;下腹组将导尿管及阴茎向下腹靠拢至舒适位置固定,而后将导尿管固定于床旁下。比较三组患者治疗后的尿路感染、尿路损伤发生情况及舒适度评分。结果内侧组患者的尿路感染发生率、尿路损伤发生率及舒适度评分分别为1.9%、1.9%、(1.39±0.87)分,下腹组患者的尿路感染发生率、尿路损伤发生率及舒适度评分分别为1.9%、1.9%、(0.34±0.17)分,均低于对照组的15.7%、15.7%、(3.79±1.67)分,差异具有统计学意义(P<0.05);下腹组患者的舒适度评分低于内侧组,差异具有统计学意义(P<0.05)。下腹组与内侧组患者的尿路感染、尿路损伤发生率比较差异无统计学意义(P>0.05)。结论于下腹部外固定神经内科男性患者的留置导尿管临床效果更优,建议临床首选。Objective To discuss the effect of different external fixation methods of indwelling catheter on short-term indwelling catheterization in male patients in neurology department.Methods A total of 156 male patients requiring catheterization in neurology department were divided into control group(51 patients),medial group(52 patients),and lower abdominal group(53 patients)according to the way the catheter was externally fixed.In the control group,no external fixation of the catheter was given,and the catheter was only fixed under the bedside by walking from one side near the groin;in the medial group,the catheter was fixed under the bedside by fixing it to the anterior medial thigh;in the lower abdominal group,the catheter and the penis were moved closer to the lower abdomen to a comfortable position,and then the catheter was fixed under the bedside.The incidence of urinary tract infection,urinary tract injury and comfort scores of the three groups after treatment were compared.Results The incidence of urinary tract infection,urinary tract injury and comfort score in the medial group were 1.9%,1.9%,and(1.39±0.87)points,and those of the lower abdominal group were 1.9%,1.9%,and(0.34±0.17)points,which were lower than 15.7%,15.7%,and(3.79±1.67)points of the control group,and the differences were statistically significant(P<0.05).The comfort score of the lower abdominal group was lower than that of the medial group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of urinary tract infection and urinary tract injury between the lower abdominal group and the medial group(P>0.05).Conclusion External fixation of indwelling catheters in the lower abdomen has good clinical effect in male neurology patients,and is recommended for clinical preference.

关 键 词：留置导尿管 外固定方法 神经内科 

分 类 号：R473.74[医药卫生—护理学]