开胸术后不同时机拔除尿管对排尿情况的影响

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摘要 摘要目的探讨开胸术后患者不同时机拔除尿管对排尿情况的影响,为医护人员拔除尿管的时机提供参考.方法将160名开胸术后患者按手术日期分组,双日为实验组80例,在拔除尿管时,先夹闭尿管,待患者主诉有尿意时拔出尿管,单日为对照组80例,在膀胱排空状态下给予拔出尿管.结果实验组发生尿潴留1例,对照组发生尿潴留8例,组间差异有统计学意义(P<0.05).结论开胸手术后患者拔除尿管时应先夹闭尿管,待膀胱充盈,患者有尿意时再拔除尿管,可降低尿潴留的发生率,减轻患者痛苦,促进术后康复,同时减少护士工作量.关键词开胸术后;尿潴留AbstractObjectiveThisresearchistoexploretheeffectsofpatientsafterthethoracotomyofdifferenttimingofremovalofcatheteronurinationconditionItprovidesevidenceforhealthcarestafftoreferenceoftimingtocatheterremoval.MethodsAccordingtotheoperationdate,theresearchersdivided160participantsintotwogroups.TheDoubledayincluding80casesisexperimentalgroupwhichremovesthecatheterwhenthepatientscomplaintheyhaveurine.TheOdd-numGbereddayincluding80casesiscotrolgroupwhichremovestheurinarycatheterwhenbladderemptying.ResultsComingup1caseofurinaryretentionintheexperGimentalgroup,8casesofurinaryretentioninthecontrolgroup.Thedifferencebetweengroupsisstatisticallysignificant.(P<0.05).ConclusionWhenhealthcarestaffremovetheurinarycatheterforthoracotomypatients,shouldclampthecatheter,removingtheurinarycatheterwhenbladderfilledandpatientswithacomGplaintofhavetourinate.Thiscanreducetheincidenceofurinaryretention,reducethesufferingofpatients,promotepostoperativerecoveryandreducingtheworkloKaedyowfonrudrsses.AfterthethoracotomyUrinaryretention中图分类号R4文献标识码B文章编号1008-6315(2015)10-0454-02
出处 《中国综合临床》 2015年9期
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出版日期 2015年09月19日(中国期刊网平台首次上网日期,不代表论文的发表时间)
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