CAJ | 학술논문

目的：探讨膀胱穿刺造瘘应用肾盂气囊导管对膀胱痉挛的影响。方法选择需行膀胱造瘘或需更换膀胱造瘘管的患者53例，随机分为实验组和对照组，其中实验组27例，应用F16硅胶肾盂气囊型导管，对照组26例，应用F16硅胶双腔气囊尿管，气囊均为3 ml。进行回顾性分析，观察两组患者每日发生膀胱痉挛、漏尿的次数，膀胱痉挛持续的天数。结果实验组每日膀胱痉挛次数、造瘘口漏尿次数及膀胱痉挛持续的天数均明显少于对照组，差异有统计学意义（P＜0．01）。结论膀胱穿刺造瘘应用肾盂气囊型导管可明显降低膀胱痉挛发生率，减少造漏口漏尿的机会，提高带管患者的生活质量。
목적：탐토방광천자조루응용신우기낭도관대방광경련적영향。방법선택수행방광조루혹수경환방광조루관적환자53례，수궤분위실험조화대조조，기중실험조27례，응용F16규효신우기낭형도관，대조조26례，응용F16규효쌍강기낭뇨관，기낭균위3 ml。진행회고성분석，관찰량조환자매일발생방광경련、루뇨적차수，방광경련지속적천수。결과실험조매일방광경련차수、조루구루뇨차수급방광경련지속적천수균명현소우대조조，차이유통계학의의（P＜0．01）。결론방광천자조루응용신우기낭형도관가명현강저방광경련발생솔，감소조루구루뇨적궤회，제고대관환자적생활질량。
Objective To investigate the effect of the application of renal pelvis balloon catheter on cystospasm in bladder puncture stoma surgery.Methods 53 patients who need to bladder stoma or replace the syringes were chosen and divided into experimental group and control group randomly.27 cases in experimental group were used F16 silicone renal pelvis balloon catheter, 26 cases of control group by F16 silicone double chamber bag urine tube, the volume of ballobes balloon are all 3ml.The number of bladder spasm and leakage of urine per day and the sustained days of bladder spasm were observed in the two groups by retrospectively analyzed.Results The number of bladder spasm and leakage of urine per day and the sustained days of bladder spasm of experimental group were significantly less than the control group, and the difference was statistically significant( P <0.01 ) .Conclusions The application of renal pelvis balloon catheter in bladder puncture colostomy surgery can obviously reduce the incidence of bladder spasm and leakage of urine, improving the life quality of patients with tubes.