摘要
目的:研究气囊导尿管不同拔管方法对男性病人拔管后舒适度的影响。方法:2009年2月~2011年6月,我院心胸外科、胃肠外科手术后留置气囊导尿管男性病人150例,随机分为A组、B组、C组各50例,A组采用自制多功能气囊导尿管,拔出尿管时先注入石蜡油5 ml+地塞米松5 mg+2%利多卡因5 ml+生理盐水5 ml;B组按常规拔除导尿管;C组采用气囊回注少量液体与排尿脱管方法,分别观察三组病人疼痛程度和拔尿管后排尿情况。结果:三组病人疼痛程度比较差异有统计学意义。拔管后排尿情况:A组发生尿路刺激症比B组和C组少,差异有统计学意义。结论:A组拔管方法可以减轻病人痛苦,减轻其拔管后并发症,提高病人的舒适度。
Objective:To explore the effect of different method of removing catheter with inflation bag towards comfort of male patients.Methods:150 cases of thoracic and gastrointestinal surgical patients were randomly divided into 3 group.Group A:50 cases,all the patients were treated with the three cavities catheter with inflation bag.Before the catheters were pulled out,5ml paraffin oil,dexamethasone 5mg,5ml saline and 2% lidocaine 5ml were injected into the catheters.Group B:50 cases,the patients were removed catheter with inflation bag by normal method.Group C:50 cases,catheter with inflation bag were pulled out along with micturition.The degree of pain and the function of unrinate after extubation were observed in each groups.Results:The degree of pain in the three groups was significantly different.In group A,the incidence of urinary tract irritation was significantly less than it in group B and group C,the difference was significantly.Conclusion:In group A the new extubation method can not only reduce the pain of patients and the complications after extubation but also improve the comfort of patients.
出处
《护理实践与研究》
2012年第13期52-53,共2页
Nursing Practice and Research
基金
广西卫生厅立项的医疗卫生自筹经费计划课题论文(Z2007304)
关键词
气囊导尿管
拔管方法
舒适度
Catheter with inflation bag
Method of extubation
Comfort