CAJ | 학술논문

目的预防术后留置尿管拔管后排尿困难和尿潴留,减少拔管后再次导尿.方法随机选择腹部手术留置尿管患者60例,分实验组30例,患者膀胱充盈自感有尿意时,先拔出尿管,同时协助患者床上或床下自行排尿;对照组30例,当患者膀胱充盈自感有尿意时,先开放尿管放完尿液后拔管,待患者下次有尿意时,再协助患者床上或下床自行排尿.结果实验组患者自行排尿成功率明显提高,与对照组比较差异有统计学意义(P<0.05);实验组患者首次排尿时间明显缩短,与对照组比较差异有统计学意义(P<0.01).结论留置尿管患者膀胱充盈时拔管为临床最佳拔管时机,提高了自行排尿的成功率,减少了尿潴留的发生,减轻了患者的痛苦.
목적 예방술후류치뇨관발관후배뇨곤난화뇨저류,감소발관후재차도뇨.방법 수궤선택복부수술류치뇨관환자60례,분실험조30례,환자방광충영자감유뇨의시,선발출뇨관,동시협조환자상상혹상하자행배뇨;대조조30례,당환자방광충영자감유뇨의시,선개방뇨관방완뇨액후발관,대환자하차유뇨의시,재협조환자상상혹하상자행배뇨.결과 실험조환자자행배뇨성공솔명현제고,여대조조비교차이유통계학의의(P<0.05);실험조환자수차배뇨시간명현축단,여대조조비교차이유통계학의의(P<0.01).결론 류치뇨관환자방광충영시발관위림상최가발관시궤,제고료자행배뇨적성공솔,감소료뇨저류적발생,감경료환자적통고.
Objective To prevent the difficult urination and uroschesis after the post -op catheter removal, reduce the chance of re - catheterization. Methods 60 patients with indwelling catheter through abdominal surgery were randomly divided into experimental and control groups, 30 cases in each group. When patients had the feelings of urinating on account of the filling of bladder, experimental group patients were be removed indwelling catheter, then patients could discharge urine on the bed or out of the bed with assistance, and control group patients were be opened the catheter to release urine chiefly, then remove the catheter. When control group patieas had the feelings of urinating next time, they could discharge urine on the bed or out of the bed with assistance. Results The success rate of automatic micturition of experimental group was higher (P<0.05), and the time of First urination of experimental group was shorter significantly (P<0.01) than those of control group. Conclusions It is the best opportunity to remove indwelling catheter when the patients feel the filling of bladder, which can lift the success rate of automatic micturition and reduce the occurance of uroschesis and the patients' pain.