摘要
目的:观察前列腺剜除术后患者开展导尿管维护策略的效果。方法:研究对象选自清远市中医院收治的前列腺剜除术患者,共60例,研究时间为2023年1月-2024年8月,采用随机数字表法将其分为对照组(采用常规尿管护理)与试验组(采用导尿管维护策略),观察两组不同维护方式的效果。结果:试验组非计划拔管率与导尿管相关尿路感染发生率(3.33%、6.67%)低于对照组(23.33%、26.67%)(P<0.05);试验组一次性拔管成功率(96.67%)高于对照组(73.33%)(P<0.05);试验组0级与Ⅰ级疼痛分级占比(40.00%、33.33%)高于对照组(13.33%、10.00%),Ⅱ级与Ⅲ级(16.67%、10.00%)低于对照组(40.00%、36.67%)(P<0.05);试验组0级与1级尿路刺激程度占比(43.33%、36.67%)高于对照组(10.00%、13.33%),2级与3级占比(16.67%、3.33%)低于对照组(43.33%、33.33%)(P<0.05)。结论:前列腺剜除术后患者开展导尿管维护策略效果显著,可降低非计划拔管率与导尿管相关尿路感染风险,提高一次性拔管成功率,减轻患者疼痛与尿路刺激程度。
Objective:To observe the effect of catheter maintenance strategy on patients after prostatectomy.Method:The research subjects who underwent prostatectomy from Qingyuan Hospital of Traditional Chinese Medicine,with a total of 60 cases,from January 2023 to August 2024 were selected.They were divided into the control group(conventional catheter care)and the experimental group(catheter maintenance strategy)using a random number table method.The effect of different maintenance methods were observed.Result:The unplanned catheter removal rate and catheter-related urinary tract infection rate in the experimental group(3.33%,6.67%)were lower than 23.33%,26.67%in the control group(P<0.05);the success rate of one-time catheter removal in the experimental group(96.67%)was higher than 73.33%in the control group(P<0.05);the proportions of pain grades 0 andⅠin the experimental group(40.00%,33.33%)were higher than 13.33%,10.00%in the control group,and the proportions of gradesⅡandⅢ(16.67%,10.00%)were lower than 40.00%,36.67%in the control group(P<0.05);the proportions of urinary irritation grades 0 and 1 in the experimental group(43.33%,36.67%)were higher than 10.00%,13.33%in the control group,and the proportions of grades 2 and 3(16.67%,3.33%)were lower than 43.33%,33.33%in the control group(P<0.05).Conclusion:Catheter maintenance strategy for patients after prostatectomy is significantly effective,which can reduce the unplanned catheter removal rate and catheter-related urinary tract infection risk,increase the success rate of one-time catheter removal,and alleviate the patients'pain and urinary irritation.
作者
苏碧齐
成艳芙
熊欢
SU Biqi;CHENG Yanfu;XIONG Huan(Department of Urology,Qingyuan Hospital of Traditional Chinese Medicine,Qingyuan 511500,China;不详)
出处
《中国医学创新》
2025年第21期100-103,共4页
Medical Innovation of China
基金
2022年度清远市科技计划自筹经费项目([2022]41号)。
关键词
前列腺剜除术
前列腺增生
导尿管维护
非计划拔管率
Prostatectomy
Benign prostatic hyperplasia
Catheter maintenance
Unplanned extubation rate
