CAJ | 학술논문

研究腹部术后留置尿管患者进行膀胱冲洗与尿潴留的关系，并观察输液前后拔除导尿管对尿潴留的影响.方法便利选取2011年5月至2012年6月腹部术后留置尿管的患者200例，按随机数字表分为膀胱冲洗组(生理盐水250 ml)和非膀胱冲洗组各100例，每组再按随机数字表法分为输液前拔管组和输液后拔管组各50例，比较各组患者拔管后首次排尿情况.结果膀胱冲洗组首次排尿有效率(91％)明显优于非膀胱冲洗组(73％)，膀胱冲洗组输液后拔管者首次排尿有效率(100％)高于输液前拔管者(82％)，差异均有统计学意义(P＜0．01).结论对腹部术后留置尿管患者进行膀胱冲洗可有效预防尿潴留，且以输液后拔除尿管效果更优.
연구복부술후류치뇨관환자진행방광충세여뇨저류적관계，병관찰수액전후발제도뇨관대뇨저류적영향.방법편리선취2011년5월지2012년6월복부술후류치뇨관적환자200례，안수궤수자표분위방광충세조(생리염수250 ml)화비방광충세조각100례，매조재안수궤수자표법분위수액전발관조화수액후발관조각50례，비교각조환자발관후수차배뇨정황.결과방광충세조수차배뇨유효솔(91％)명현우우비방광충세조(73％)，방광충세조수액후발관자수차배뇨유효솔(100％)고우수액전발관자(82％)，차이균유통계학의의(P＜0．01).결론대복부술후류치뇨관환자진행방광충세가유효예방뇨저류，차이수액후발제뇨관효과경우.
Objective To study the relationship of patients with indwelling catheter between bladder irri-gation and urinary retention after operation and observe the effect on urine retention after catheter removal before and after transfusion.Methods 200 patients with a urinary cathete after abdominal surgery were randomly divided into bladder irrigation group(Physiological saline 250ml)100 cases and non-bladder ir-rigation group 100 cases.The above two groups were divided into before and after transfusion groups ran-domly according to the time of catheter removal,50 cases in each group,the first urination after extubation observed and recorded.Results The effective rate of bladder irrigation group was 9 1%,the curative effect was better than non-bladder irrigation group 73.00%;In bladder irrigation group,the effective rate of after transfusion (100%)was significantly higher than before transfusion (82.00%)(P<0.01 ).Conclusion Rinsing bladder to patients with a urinary cathete after abdominal surgery could effectively prevent urinary retention and the clinical effects after transfusion was optimal.