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目的观察简易膀胱测压对降低骨科留置尿管患者拔管后重插尿管的临床效果。方法 80例腰部及下肢手术患者,按照随机数字表原则分为对照组和研究组,每组40例。对照组使用常规方法进行留置尿管拔管,未使用简易膀胱测压;研究组在拔尿管之前进行简易膀胱测压,观察比较两组患者的首次排尿时间、排尿量、尿路刺激征及重插管情况。结果研究组患者的首次排尿时间为(4.55±1.65)h、首次排尿量为(345.65±63.75)ml,明显优于对照组的(3.75±1.45)h、(275.80±35.45)ml,差异具有统计学意义(P<0.05)。研究组患者发生尿路刺激征6例,明显少于对照组的14例,差异具有统计学意义(P<0.05)。研究组患者的重插管率为5.00%,明显低于对照组的20.00%,差异具有统计学意义(P<0.05)。结论简易膀胱测压可以有效降低骨科留置尿管患者拔管后重插尿管情况,在临床工作中有很大的应用价值,建议临床广泛推广使用。
Objective To observe the clinical effect of simple bladder manometry on the reduction of re-inserted urinary catheter after extubation in patients with orthopedic indwelling catheter. Methods 80 cases of lumbar and lower limb surgery patients, according to the principle of random number table is divided into control group and study group, 40 cases in each group. In the control group, indwelling catheter extubation was performed by conventional method, and simple bladder manometry was not used. In the study group, simple bladder manometry was performed before catheter removal. The first urination time, urine output, urinary tract irritation, Re-intubation situation. Results The first urination time in study group was (4.55 ± 1.65) h, the first urination volume was (345.65 ± 63.75) ml, which was significantly better than that in control group (3.75 ± 1.45) h and (275.80 ± 35.45) ml respectively Significance (P <0.05). There were 6 cases of urinary tract irritation in the study group, which was significantly less than 14 cases in the control group, the difference was statistically significant (P <0.05). The reperfusion rate in study group was 5.00%, which was significantly lower than that in control group (20.00%, P <0.05). Conclusions Simple bladder manometry can effectively reduce the situation of re-inserted catheter after extubation in patients with orthopedic indwelling catheter, which has great value in clinical work. It is suggested that it should be widely used clinically.