手法干预在泌尿外科男性患者术后拔除尿管中的应用研究  

Study on the application of manual intervention in the postoperative removal of urinary catheter in male patients of urology

作　　者：曾以林 郑敏华 刘双 李腾 ZENG Yilin;ZHENG Minhua;LIU Shuang;LI Teng(Renal Medicine Division 1,Guangdong Provincial People's Hospital/Guangdong Academy of Medical Sciences,Guangzhou,Guangdong 510080,China)

机构地区：[1]广东省人民医院/广东省医学科学院肾内科一区,广东广州510080

出　　处：《现代医药卫生》2023年第2期258-261,共4页Journal of Modern Medicine & Health

基　　金：广东省广州市科学技术局科技计划(基础与应用基础研究)项目(202102020058)。

摘　　要：目的 探讨手法干预对缓解男性患者拔除尿管后所致的疼痛刺激、下尿路症状(LUTS)等的临床效果,指导采取有效的干预措施缓解患者拔除尿管的不适感。方法 将2020年2月至2021年2月该院泌尿外科收治的266例需拔除尿管的男性患者采用电脑随机数字表法分为研究组和对照组,每组133例。对照组按常规操作流程拔除尿管,研究组采用手法干预,拔除尿管前夹闭尿管至患者主诉有尿意,拔除尿管时将阴茎抬高至与腹壁成60°,拔除过程中保持左右交替旋转缓慢移除尿管。比较2组患者拔除尿管后疼痛评分、排尿时LUTS和重置尿管率。结果 研究组患者LUTS、疼痛程度均明显优于对照组,差异均有统计学意义(P<0.05);2组患者重置尿管率比较,差异无统计学意义(P>0.05)。结论 在为男性患者拔除尿管过程中基于常规操作流程上改善拔除手法可减轻患者拔除尿管时的疼痛及拔除尿管后出现的LUTS。Objective To explore the clinical effect of manual intervention on relieving the pain stimulus and lower urinary tract symptoms(LUTS) of male patients after catheter removal, and to guide effective intervention measures to alleviate the discomfort of patients after catheter removal.Methods From February 2020 to February 2021,a totoal of 266 male patients admitted to the Department of Urology of this Hospital and needed catheter removel were divided into the study group and the control group by computer random number table method, with 133 cases in each group.The control group pulled out the catheter according to the routine operation process.The study group used manual intervention to clamp the catheter before pulling out the catheter until the patient complained of urination.When pulling out the catheter, the penis was raised to 60 with the abdominal wall.During the removal process, the catheter was slowly removed by rotating left and right alternately.The pain score after catheter removal, LUTS during urination and the rate of catheter replacement were compared between the two groups.Results LUTS and pain in the study group were significantly better than those in the control group, and the difference were statistically significant(P<0.05);There was no significant difference between the two groups in the rate of urinary tube replacement(P>0.05).Conclusion In the process of catheter removal for male patients, the improvement of the removal technique based on the routine operation process can reduce the pain during catheter removal and LUTS after catheter removal.

关 键 词：导尿管插入术 男人 治疗结果 泌尿外科 手法干预 拔除尿管 

分 类 号：R69[医药卫生—泌尿科学] R473.6[医药卫生—外科学]