膀胱冲洗后即拔尿管的效果观察

Observe effect of pulling out the urine pipe after washing bladder

目的观察行膀胱冲洗后即拔尿管对尿潴留的影响。方法将100例剖宫产术后的产妇随机分为2组，分别为对照组50例和实验组50例。对照组采用传统的方法进行拔尿管，实验组在输液完毕，用1：5000的呋喃西林溶液100ml冲洗膀胱后即拔尿管，然后观察产妇的第一次排尿时间，排尿时是否尿痛。结果实验组有48例拔除尿管后能自行排尿，对照组有39例拔除尿管后能自行排尿。两组之间具有可比性，有显著差异（P〈0．01）。两组产妇的第一次排尿时间实验组为（2．5±1．09）h，对照组（3．31±1．35）h，两组之间有显著差异（P〈0．01）。结论留置导尿管患者进行膀胱冲洗后即拔尿管，能有效地预防尿潴留，促进膀胱的排空，减少尿道感染。

Objective to observe the effect of pulling out the ureter right after washing bladder, Methods 100 women who have given birth by caesarean are divided into 2 groups. Being an experimental group, Groupl use 100ml 1：50 furacilin solution to wash bladder and then pull up the ureter. Group2 is the control group and use traditional method to pull up the ureter. Observe when they urinate for the first time after the operation and whether they feel pain while urination. Results 48 women of the Experimental group and 39 of the control group can urinate by themselves after the operation. The difference is analogous and obvious （P〈0. 01 ）. The first urination of the experimental group comes （2. 5± 1.09）h while that of the control group comes （3.31± 1.35）h after the operation. The difference is analogous and obvious （P〈0. 01 ）.Conclusions Washing bladder before pulling up the ureter can prevent urinary retention, promote evacuation and reduce infection.