检验医学与临床
檢驗醫學與臨床
검험의학여림상
JOURNAL OF LABORATORY MEDICINE AND CLINICAL SCIENCES
2015年
1期
51-52
,共2页
仿生学尿袋%老年患者%关节置换
倣生學尿袋%老年患者%關節置換
방생학뇨대%노년환자%관절치환
bionics urine bag%gerontal patients%joint replacement
目的：探讨新型仿生学尿袋在关节置换术后老年患者中的应用而减少因导尿引起并发症的效果。方法选择64例留置尿管老年手术患者，随机分为试验组和对照组各32例，试验组采用新型仿生学尿袋，对照组采用抗反流尿袋，分别比较导尿至拔出尿管自行排尿时间、2次以上溢尿发生率、经诱导排尿后需要2次导尿比例、尿路感染发生率。结果试验组和对照组导尿至拔出尿管自行排尿时间分别为（64．49±4．98）h和（82．64±1．47） h ，2次以上溢尿率分别为6．25％和25．00％，2次导尿比分别为15．63％和40．63％，尿路感染发生率分别为6．25％和18．75％。结论新型仿生学尿袋能缩短尿管拔出时间，促进患者自行排尿，同时减少溢尿的发生和2次导尿，明显减少尿路感染的发生，保证了老年关节置换患者的术后康复，也减少了护理工作时间。
目的：探討新型倣生學尿袋在關節置換術後老年患者中的應用而減少因導尿引起併髮癥的效果。方法選擇64例留置尿管老年手術患者，隨機分為試驗組和對照組各32例，試驗組採用新型倣生學尿袋，對照組採用抗反流尿袋，分彆比較導尿至拔齣尿管自行排尿時間、2次以上溢尿髮生率、經誘導排尿後需要2次導尿比例、尿路感染髮生率。結果試驗組和對照組導尿至拔齣尿管自行排尿時間分彆為（64．49±4．98）h和（82．64±1．47） h ，2次以上溢尿率分彆為6．25％和25．00％，2次導尿比分彆為15．63％和40．63％，尿路感染髮生率分彆為6．25％和18．75％。結論新型倣生學尿袋能縮短尿管拔齣時間，促進患者自行排尿，同時減少溢尿的髮生和2次導尿，明顯減少尿路感染的髮生，保證瞭老年關節置換患者的術後康複，也減少瞭護理工作時間。
목적：탐토신형방생학뇨대재관절치환술후노년환자중적응용이감소인도뇨인기병발증적효과。방법선택64례류치뇨관노년수술환자，수궤분위시험조화대조조각32례，시험조채용신형방생학뇨대，대조조채용항반류뇨대，분별비교도뇨지발출뇨관자행배뇨시간、2차이상일뇨발생솔、경유도배뇨후수요2차도뇨비례、뇨로감염발생솔。결과시험조화대조조도뇨지발출뇨관자행배뇨시간분별위（64．49±4．98）h화（82．64±1．47） h ，2차이상일뇨솔분별위6．25％화25．00％，2차도뇨비분별위15．63％화40．63％，뇨로감염발생솔분별위6．25％화18．75％。결론신형방생학뇨대능축단뇨관발출시간，촉진환자자행배뇨，동시감소일뇨적발생화2차도뇨，명현감소뇨로감염적발생，보증료노년관절치환환자적술후강복，야감소료호리공작시간。
Objective To explore the application of neotype bionics urine bag in gerontal patientsa after joint replacement to decrease complications caused by catheterication .Methods Sixty‐four gerontal patients with detaining urinary catheter were selected and randomly divided into experimental group with neotype bionics urine bag and con‐trol group with antireflux bionics urine bag ,32 cases in each group .The time from urethral catheterication to volunta‐ry micturition after pulling out catheter ,urine overflow beyond two times ,the rate of needing second urethral cathe‐terication after induced urination and the rate of urinary tract infection were compared .Results In experimental group and control group ,the time from urethral catheterication to voluntary micturition were (64 .49 ± 4 .98)h and (82 .64 ± 1 .47)h ,the rates of needing second urethral catheterication were 6 .25% and 25 .00% ,the rates of needing second urethral catheterication were 15 .63% and 40 .63% ,and the rates of urinary tract infection were 6 .25% and 18 .75% respectively .Conclusion Application of neotype bionics urine bag could shorten the time of pulling out uri‐nary catheter ,promote micturition by themselves ,decrease the rate of urine overflow and second urethral catheterica‐tion ,and reduce the incidence of urinary tract infections ,which could also ensure the postoperative rehabilitation of elderly patients after joint replacement and reduce the time of nursing .
