中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
30期
3888-3890
,共3页
膀胱造口术%膀胱痉挛%管道阻塞%多功能膀胱造瘘引流管
膀胱造口術%膀胱痙攣%管道阻塞%多功能膀胱造瘺引流管
방광조구술%방광경련%관도조새%다공능방광조루인류관
Cystostomy%Cystospasm%Pipeline blockage%Multifunction bladder stoma drainage
目的：探讨永久性膀胱造瘘患者应用多功能膀胱造瘘引流管的临床效果。方法将67例永久性膀胱造瘘患者用抓阄法随机分为观察组和对照组，32例观察组患者使用多功能膀胱造瘘引流管，35例对照组患者使用普通气囊导尿管，观察并比较两组患者膀胱痉挛持续时间、管道阻塞及尿液细菌阳性率情况。结果观察组患者膀胱痉挛平均持续时间、每日次数、持续天数为（3．65±1．93） min，（4．24±2．68）次，（4.33±2．72）d，均低于对照组[（8．84±3．59）min，（12．38±5．22）次，（10．91±4．57）d]，差异有统计学意义（t值分别为-7．21，-7．87，-7．01；P＜0．01）。观察组患者管道阻塞为3次，对照组为11次，两组比较差异有统计学意义（χ2＝4．92，P＜0．05）。两组患者尿液细菌培养阳性率比较差异无统计学意义（χ2＝0.20，P＞0．05）。结论多功能膀胱造瘘引流管应用于永久性膀胱造瘘患者能够降低膀胱痉挛的发生率，保证管道引流通.，值得临床推广应用。
目的：探討永久性膀胱造瘺患者應用多功能膀胱造瘺引流管的臨床效果。方法將67例永久性膀胱造瘺患者用抓鬮法隨機分為觀察組和對照組，32例觀察組患者使用多功能膀胱造瘺引流管，35例對照組患者使用普通氣囊導尿管，觀察併比較兩組患者膀胱痙攣持續時間、管道阻塞及尿液細菌暘性率情況。結果觀察組患者膀胱痙攣平均持續時間、每日次數、持續天數為（3．65±1．93） min，（4．24±2．68）次，（4.33±2．72）d，均低于對照組[（8．84±3．59）min，（12．38±5．22）次，（10．91±4．57）d]，差異有統計學意義（t值分彆為-7．21，-7．87，-7．01；P＜0．01）。觀察組患者管道阻塞為3次，對照組為11次，兩組比較差異有統計學意義（χ2＝4．92，P＜0．05）。兩組患者尿液細菌培養暘性率比較差異無統計學意義（χ2＝0.20，P＞0．05）。結論多功能膀胱造瘺引流管應用于永久性膀胱造瘺患者能夠降低膀胱痙攣的髮生率，保證管道引流通.，值得臨床推廣應用。
목적：탐토영구성방광조루환자응용다공능방광조루인류관적림상효과。방법장67례영구성방광조루환자용조구법수궤분위관찰조화대조조，32례관찰조환자사용다공능방광조루인류관，35례대조조환자사용보통기낭도뇨관，관찰병비교량조환자방광경련지속시간、관도조새급뇨액세균양성솔정황。결과관찰조환자방광경련평균지속시간、매일차수、지속천수위（3．65±1．93） min，（4．24±2．68）차，（4.33±2．72）d，균저우대조조[（8．84±3．59）min，（12．38±5．22）차，（10．91±4．57）d]，차이유통계학의의（t치분별위-7．21，-7．87，-7．01；P＜0．01）。관찰조환자관도조새위3차，대조조위11차，량조비교차이유통계학의의（χ2＝4．92，P＜0．05）。량조환자뇨액세균배양양성솔비교차이무통계학의의（χ2＝0.20，P＞0．05）。결론다공능방광조루인류관응용우영구성방광조루환자능구강저방광경련적발생솔，보증관도인류통.，치득림상추엄응용。
Objective To explore the clinical effect of multifunction bladder stoma drainage on the patients with permanent cystostomy .Methods Sixty-seven patients with permanent cystostomy were chosen and divided into the control group ( n=35) and the experimental group ( n=32) .The control group used the common balloon catheter , and the experimental group used the multifunction bladder stoma drainage .The cystospasm , pipeline blockage and bacteriuria were compared between two groups .Results The average duration , daily times, continuous days of cystospasm were respectively (3.65 ±1.93)min, (4.24 ±2.68)times,(4.33 ±2.72)d in the experimental group, and were lower than (8.84 ±3.59)min,(12.38 ±5.22),(10.91 ±4.57)d in the control group, and the differences were statistically significant (t=-7.21,-7.87,-7.01, respectively;P<0.01). The number of pipeline blockage was 3 times in the experimental group , and was 11 times in the control group , and the difference was statistically significant (χ2 =4.92,P<0.05).No difference was found in the positive rate of urine culture between two groups (χ2 =0.20,P>0.05).Conclusions Application of the multifunction bladder stoma drainage in the patients with permanent cystostomy can decrease the incidence rate of cystospasm so as to ensure the pipeline unobstructed , and is worthy of clinical promotion and application .
