国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
9期
1355-1356
,共2页
体位%插管深度%留置尿管%置管率
體位%插管深度%留置尿管%置管率
체위%삽관심도%류치뇨관%치관솔
Position%Depth of catheterization%Indwelling catheter%Rate of catheterization
目的 探讨体位和插导尿管的深度对一次过置管的影响.方法 将2010年8月至2011年8月在神经内科和肾内科住院的132例需要留置尿管的男性老年患者分为对照组(68例)和实验组(64例).对照组按常规导尿法导尿,并留置导尿管.实验组在对照组的基础上注重体位姿势:协助患者取平仰卧位,臀高(10 ～ 20 cm)屈膝,可在其臀部垫一软枕,双下肢保持弯屈曲呈钝角微向外展位,以患者舒适为宜.和改变插尿管深度:直插导尿管20～22cm,见尿液流出,再继续插至尿管三叉分头处才注水入囊,再将尿管往外拉至不动为止.观察两组一次过管率.结果 观察组插入导尿一次置管率为98.4％,对照组为92.6％,经Wilcoxon 秩和检验,z=-2.489.结论 男性老年患者在插导尿管时稍注意体位姿势和将插尿管至三叉分头处才注水入囊,可以提高一次过置管率.
目的 探討體位和插導尿管的深度對一次過置管的影響.方法 將2010年8月至2011年8月在神經內科和腎內科住院的132例需要留置尿管的男性老年患者分為對照組(68例)和實驗組(64例).對照組按常規導尿法導尿,併留置導尿管.實驗組在對照組的基礎上註重體位姿勢:協助患者取平仰臥位,臀高(10 ～ 20 cm)屈膝,可在其臀部墊一軟枕,雙下肢保持彎屈麯呈鈍角微嚮外展位,以患者舒適為宜.和改變插尿管深度:直插導尿管20～22cm,見尿液流齣,再繼續插至尿管三扠分頭處纔註水入囊,再將尿管往外拉至不動為止.觀察兩組一次過管率.結果 觀察組插入導尿一次置管率為98.4％,對照組為92.6％,經Wilcoxon 秩和檢驗,z=-2.489.結論 男性老年患者在插導尿管時稍註意體位姿勢和將插尿管至三扠分頭處纔註水入囊,可以提高一次過置管率.
목적 탐토체위화삽도뇨관적심도대일차과치관적영향.방법 장2010년8월지2011년8월재신경내과화신내과주원적132례수요류치뇨관적남성노년환자분위대조조(68례)화실험조(64례).대조조안상규도뇨법도뇨,병류치도뇨관.실험조재대조조적기출상주중체위자세:협조환자취평앙와위,둔고(10 ～ 20 cm)굴슬,가재기둔부점일연침,쌍하지보지만굴곡정둔각미향외전위,이환자서괄위의.화개변삽뇨관심도:직삽도뇨관20～22cm,견뇨액류출,재계속삽지뇨관삼차분두처재주수입낭,재장뇨관왕외랍지불동위지.관찰량조일차과관솔.결과 관찰조삽입도뇨일차치관솔위98.4％,대조조위92.6％,경Wilcoxon 질화검험,z=-2.489.결론 남성노년환자재삽도뇨관시초주의체위자세화장삽뇨관지삼차분두처재주수입낭,가이제고일차과치관솔.
Objective To explore the effect of patient position and depth of urinary catheterization on primary catheter placement.Methods 132 elderly patients who had been hospitalzed during August 2010 to August 2011 in the Department of Neurology and Department of Nephrology who needed urinary catheterization were divided into control group ( 68 patients ) and study group ( 64 patients ).The control group received conventional urinary catheterization with indwelling catheter.The study group improved postural position,the patient in flat supine with hip elevation ( 10 ～ 20cm ) and knee bend using a soft pillow under their buttom; the lower limbs remaining bent at an obtuse angle with slight abduction,making patients.The depth of the inserted catheter was changed with a depth of 20 ～ 22cm.Aftera a flow of urine occurred,the catheter continued to be inserted into the trigeminal ends and water was injected into the sac,then the catheter was pulled until it did not moved.The primary rate of catheterization was observed in the two groups.Results The primary rate of catheterization was 98.4％ in the study group and 92.6％ in the control group.The Wilcoxon rank-sum test showed Z =2.489.Conclusions Proper postural position and water injection to the sac of a catheter inserted to its trigeminal ends can increase the primary urinary catheterization in elderly male patients.
