留置尿管早期定时开放对拔除尿管后排尿效果观察

Observation on the Effect of Early Urinary Catheter Time Opening for Patients' Bladder Function after Their Catheter Was Removed

目的:预防术后留置尿管拔管后排尿困难和尿潴留,减少拔管后再次导尿。方法:随机选择腹部手术留置尿管患者60例,分观察组30例,患者采用术后第1天尿管定时开放。对照组30例,采用直接开放尿管引流,拔管前夹闭尿管。两组均在膀胱充盈有尿意时拔管。结果:观察组拔管后第1次排尿平均时间为13.93min,第1次排尿成功率为96.7%(29/30);对照组拔管后第1次排尿平均时间为43.90min,第1次排尿成功率为66.7%(20/30)。结论:应用早期尿管定时开放的观察组拔管后排尿效果优于对照组。

Objective To prevent difficulty in urination or acute urinary retention after patents＇ urinary catheter was removed, and then to avoid reinserting the urinary catheter. Methods 60 patients who underwent abdominal operation and indwelling urinary catheter were randomly selected and divided into test group and control group. The patients of the test group（30 cases）used a method of urinary catheter time opening and beginning in postoperative day 1. The control group（30 cases）used a method of open drainage and clamping the catheters before their removal. All the catheters were removed when the patients were of filling of bladder and had micturition desire. Results In the test group, the patients were to urinate for the first time in a mean time of 13.93mins after their urinary catheters were removed. The successful rate of first time to urinate was 96.7% （29/30）. While it was 43.90mins and 66.7% （20/30）in the control group correspondingly. Conclusion The effect of early urinary catheter time opening was better than that of open drainage.