CAJ | 학술논문

目的：探讨12Fr尿管在脑卒中前列腺肥大患者留置尿管中应用的效果。方法将164例脑卒中尿潴留需留置尿管的前列腺肥大患者按入院单双日，采用简单随机分组法将患者分为对照组80例和观察组84例。对照组患者采用14～20Fr尿管留置尿管，观察组采用12Fr尿管留置尿管。比较两组患者插管过程疼痛、尿道损伤及置管期间漏尿发生情况。结果两组患者疼痛、尿道损伤、漏尿发生率比较，均P＜0．05，差异具有统计学意义，观察组患者各项指标发生率明显低于对照组。结论12Fr尿管用于脑卒中前列腺肥大患者留置尿管，明显减轻患者插管过程疼痛程度，可有效降低尿道损伤、漏尿发生情况，值得临床推广应用。
목적：탐토12Fr뇨관재뇌졸중전렬선비대환자류치뇨관중응용적효과。방법장164례뇌졸중뇨저류수류치뇨관적전렬선비대환자안입원단쌍일，채용간단수궤분조법장환자분위대조조80례화관찰조84례。대조조환자채용14～20Fr뇨관류치뇨관，관찰조채용12Fr뇨관류치뇨관。비교량조환자삽관과정동통、뇨도손상급치관기간루뇨발생정황。결과량조환자동통、뇨도손상、루뇨발생솔비교，균P＜0．05，차이구유통계학의의，관찰조환자각항지표발생솔명현저우대조조。결론12Fr뇨관용우뇌졸중전렬선비대환자류치뇨관，명현감경환자삽관과정동통정도，가유효강저뇨도손상、루뇨발생정황，치득림상추엄응용。
Objective To investigate the effect of 12 Fr catheter on the catheteration for the patients with prostatic hypertrophy after stroke. Methods One hundred and four sixteen patients with prostatic hypertrophy from urinary detention were divided into the control group (n=80) and the observation group (n=84) based on the odd and even numbers of admission date according to a digit random table. The control group received catheteration with a 14~20 Fr catheter, and the observation group did with a 12 Fr catheter. The two groups were compared in terms of pains, urethral injury and leakage of urine during intubation. Result The pain, urethral injury, leakage of urine in the observation group were all significantly lowered than those of the control group (all P<0.05). Conclusions 12 Fr catheter for catheteration for the patients with post-stroke prostatic hypertrophy can significantly reduce the degree of pain, the urethral injury and leakage of urine. Thus it is worthy of clinical application.