综合措施对膀胱、前列腺术患者拔尿管后排尿的效果观察

Effects of comprehensive measures of indwelling catheter extraction on patients after operation of bladder and prostate

目的探讨膀胱、前列腺术留置尿管患者拔管后能顺利排尿及减少相关并发症的有效措施。方法将300例留置尿管10d以上患者分为观察组150例，对照组150例。观察组拔尿管前30min口服泌尿灵0．4g，同时夹闭尿管；拔管时肛门内注入开塞露20ml；以后每隔6h口服泌尿灵0．2g，连续2d。对照组采用常规拔尿管法。结果观察组患者一次排尿成功率99％，对照组一次排尿成功率70％，两组比较差异有统计学意义（P〈0．01）；排尿时患者疼痛评估观察组低于对照组（P〈0．01）；拔管后3d内相关并发症比较，观察组低于对照组（P〈0．01）。结论泌尿灵与开塞露联合用药可提高长期留置尿管患者拔管后排尿成功率，减轻患者拔尿管后排尿疼痛的痛苦，减少拔管后相关并发症的发生。

Objective To probe into the effective measures of indwelling catheter extraction on patients after operation of bladder and prostate. Methods 300 cases with indwelling catheter for more than 10 days were divided evenly into two groups, the observation group and the control group. In observation group, patients took 0.4g Flavoxate orally before removal of indwelling catheter, on the same time the catheter were occluded. Rectal administration of 20ml Glycerine was injected when the catheter removed. After extraction, 0.2g Flavoxate was taken orally every 6 hours for two consecutive days. On the contrary, routine extraction method was used in the control group. Results The successful rate of indwelling catheter extraction was 99% in the observation group compared with 70% in the control group. Furthermore, the urination pain was less and the incidence of complications was lower in observation group than those in the control group. Conclusions Combined medicine of Flavoxate and Glycerine Enema can remarkably increase the successful rate of indwelling catheter extraction, ease the urination pain of patients, and reduce the related complications.