拔除留置导尿管的方法对拔管后排尿疼痛及尿潴留的影响观察

发布时间：2017-12-31 07:39

本文关键词：拔除留置导尿管的方法对拔管后排尿疼痛及尿潴留的影响观察　出处：《护士进修杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的对两种拔除留置尿管的方法进行对比,观察患者拔管后排尿疼痛及发生尿潴留的情况,为拔除留置尿管方法的选择提供依据。方法选择2014年1-11月我科收治的留置尿管的患者235例,随机分为观察组和对照组。观察组127例患者在膀胱充盈有尿意时,抽尽尿管气囊,嘱患者自行排尿冲出导尿管;对照组108例患者在医嘱停止留置尿管时即抽尽尿管内气囊拔除尿管。观察拔除尿管后两组患者排尿疼痛及尿潴留的发生情况。结果观察组排尿疼痛及尿潴留发生率明显低于对照组(P0.05)。结论在患者膀胱充盈有尿意情况下抽尽尿管气囊,嘱患者自行排尿冲出导尿管的方法能减少拔管后排尿疼痛及尿潴留的发生率,值得临床推广应用。
[Abstract]:Objective to compare the two methods of removing indwelling catheter and observe the urination pain and urinary retention after extubation. Methods 235 patients with indwelling catheter from 2014 to November were selected. The patients in the observation group were randomly divided into the observation group and the control group. 127 patients in the observation group took out the balloon when the bladder was filled with urine, and ordered the patients to urinate and burst out of the urethral catheter on their own. 108 patients in the control group took out the catheter when the indwelling catheter was stopped by doctors. The occurrence of urination pain and urinary retention in the two groups were observed. Results the micturition pain and urinary retention were observed in the observation group. The incidence was significantly lower than that in control group (. Conclusion when the bladder of the patient is filled with urine intention, the balloon of urinary tube is taken out. This method can reduce the incidence of urination pain and urinary retention after extubation.
【作者单位】：重庆市巴南区人民医院骨科;
【分类号】：R472.92
【正文快照】： 气囊尿管在临床中应用广泛,临床护理中只将放置导尿管的方法和步骤进行了规范,而忽略了拔尿管过程中的细节问题及方法,以至于部分患者拔尿管后出现疼痛、尿道黏膜损伤、出血、排尿困难等不适[1]。30%的病人可因为疼痛不能排尿,导致尿潴留[2]。2014年1-11月,我科对235例患者进

【参考文献】