摘要
目的 探讨腰椎牵引术后病人引起尿潴留的原因与减少导尿机率的护理对策。方法 将180例接受腰椎牵引术治疗的病人随机分为两组 ,骶管注射给药后接受腰椎牵引治疗的病人 90例为治疗组。未用骶管给药直接牵引整复者为对照组 90例 ,从年龄、性别、文化程度、体重、骶管给药与否、牵引方法、牵引时机、排尿时间、方法进行研究。结果 术后女性病人导尿率高于男性病人 ,且骶管给药向会阴部传感的术后病人较之向腰及下肢部放射者导尿率为高。影响腰椎牵引术后尿潴留的相关因素有性别、文化程度、体重、骶管给药传感部位、牵引时机、术后饮食状况。结论 女性病人较男性易发生尿潴留 ,且与骶管给药传感部位有关。术后第 1次排尿时间以 4～ 5小时为佳。加强术前宣教及训练床上排尿习惯、术后饮食指导 。
Objective To probe the cause of uroschesis after lumbar vertebrae traction and the nursing countermeasures decreasing the times of urethral catheterization.Methods All patients receiving lumbar vertebrae traction were divided into two groups. The treatment group, including 90 cases of patients, received sacral canal injection before Lumbar vertebrae traction. The control group, including 90 cases of patients, did not receive sacral canal injection before lumbar vertebrae traction. The indexes were age, sex, educational level, weight, with or without sacral canal injection, traction method and traction opportunity, emiction time and methods.Results The times of urethral catheterization of women were higher than that of men. The rate was also higher in patients with feeling passed to perineum as sacral canal injection than that of patients with feeling passed to lumbus and lower limbs. The relative factors were sex, educational level, weight, sacral canal injection feeling passed to, traction opportunity and dietary condition.Conclusions Uroschesis is easy to take place in women, and also related to sacral canal injection feeling passed to. The best emiction time is 4～5 hours after traction.
出处
《现代护理》
2003年第3期183-185,共3页
Modern Nursing
