摘要
目的:探讨超前拔除尿管方案在骨科下肢手术患者中的应用效果。方法:选择2019年7月—2019年12月择期行单纯下肢手术患者464例,根据患者所在骨科病区不同分为观察组(227例)和对照组(237例)。观察组实行超前拔除尿管方案,对照组采用常规拔除尿管方案。比较两组患者留置导尿管相关膀胱不适、尿管留置时间、恢复自主排尿时间、首次排尿级别。结果:尿管留置期间,观察组出现留置导尿管相关膀胱不适40例,对照组39例,两组比较差异无统计学意义(P>0.05);观察组尿管留置时间短于对照组,差异有统计学意义(P<0.001)。拔除尿管后,观察组恢复自主排尿时间较对照组长,差异有统计学意义(P<0.001);观察组首次排尿不适率低于对照组,差异有统计学意义(P<0.001);两组首次排尿级别比较,差异有统计学意义;两组拔管后复插率比较,差异无统计学意义(P>0.05)。结论:超前拔除尿管方案可以明显缩短尿管留置时间,降低拔管后首次排尿不适率,且不会增加拔管后复插率。
Objective:To explore the application effect of advanced removal of urinary catheter in patients undergoing lower extremity orthopedic surgery.Methods:From July to December 2019,464 patients who were admitted to the department of orthopaedics of a third grade a hospital were selected for simple lower extremity operation.According to the different orthopaedic areas of the patients,they were divided into the observation group(227 cases)and the control group(237 cases).In the observation group,the catheter was removed in advance,while in the control group,the routine catheter was removed.The bladder discomfort related to indwelling catheterization,the duration of indwelling catheter,the time of recovery of self urination and the level of first urination were compared between the two groups.Results:During the period of catheter retention,40 patients in the observation group had bladder discomfort related to catheter retention,39 patients in the control group,with no significant difference(P>0.05).The catheter indwelling time in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.001).After the catheter was removed,the observation group took longer to resume autonomous urination than the control group,and the difference was statistically significant(P<0.001).The first urination discomfort rate in the group was lower than that in the control group,the difference was statistically significant(P<0.001).There was a statistically significant difference in the first-grade urination level between the two groups.The observation group and the control group had no significant difference in the reexamination rate after extubation(P>0.05).Conclusion:Advanced removal of urinary catheter can shorten the indwelling time of the catheter,reduce the discomfort rate of the first micturition after extubation,and will not increase the reinsertion rate after extubation.
作者
王芳
卫转
李冰
郭妮娜
郭锦丽
WANG Fang;WEI Zhuan;LI Bing;GUO Nina;GUO Jinli(The Second Hospital of Shanxi Medical University,Taiyuan 030001,China;Nursing College of Shanxi Medical University,Taiyuan 030001,China)
出处
《临床医药实践》
2021年第5期387-391,共5页
Proceeding of Clinical Medicine
基金
2018年山西医科大学第二医院护理基金项目(项目编号:201804-1)。
关键词
骨科
导尿管
尿管留置时间
超前拔除尿管
orthopedics
urinary catheter
catheter retention time
advanced removal of urinary catheter
