| 摘要: |
| ［摘要］ 目的 探讨改良留置导尿管拔除法在神经外科病人护理中的应用效果。方法 将100例留置导尿管的手术病人随机分为对照组和实验组各50例，对照组按常规方法在接到拔尿管医嘱后直接用无菌注射器抽尽气囊内的液体，随后将尿管拔出；实验组采用NS 250 ml+庆大霉素16万U+地塞米松10 mg在拔管前以15～20 ml/min滴入膀胱并保留至患者有尿意，将无菌注射器接气囊管道的外口，让气囊内的液体自行流至注射器内，直至无液体流出，再缓缓拔除尿管。结果 两组病人在拔除尿管后首次排尿时出现的异常症状、第一次排尿时间及平均时间及拔管后血尿发生情况比较，差异均有统计学意义(P<0.05)。结论 在神经外科术后留置导尿管的病人中，应用改良尿管拔除法，能有效地减少尿管拔除后首次排尿时出现的异常症状，减少黏膜的损伤及再次导尿的机会，减轻了病人躯体上和精神上的痛苦，值得推广应用。 |
| 关键词: 留置尿管 拔尿管方法 护理 |
| DOI：10.3969/j.issn.1674-3806.2011.09.27 |
| 分类号:R 473.6 |
| 基金项目:广西卫生厅自筹经费科研课题（编号:Z2007167） |
|
| Observation of the practice effect of the improved pull out method for indwelling urinary catheter of neurosurgery patients |
|
LI Yan,LIANG Juan-ming,DU Yun,et al.
|
|
Department of Neurosurgery,the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China
|
| Abstract: |
| ［Abstract］ Objective To explore the practice effect of the improved pull out method for indwelling urinary catheter of neurosurgery patients. Methods One hundred postoperative general surgery patients with indwelling catheter were randomly divided into two groups，50 patients in each group.In the control group nurse sucked all the water in the cather water ballon with sterile syrinye，then pulled out the urinary catheter when the patients feeling urination. Patients in the observation group were injected 250 ml of medicine water before the catheter was pulled out, when the patients feeling urination, nurse linked the water ballon with storile syrinye, let the water run off by oneself, and then pulled out the urinary catheter. Results The difference in the abnormal symptom at first urination, the average time of first urination, the numbers of patients with blood urine bewteen two groups were statistically significant(P<0.05). Conclusion The improved pull out method for indwelling urinary catheter will decrease the abnormal symptoms, decrease the harm of mucosa and the opportunity of again catheterization,decrease sufferings of the patients of the neurosurgery postoperative patients. |
| Key words: Indwelling urinary catheter Urinary catheter removal Nursing |
