拔尿管前行膀胱冲洗对开颅术后患者的影响

The influence of bladder irrigation before pulling out uric catheter on the patients after craniotomy

目的探讨拔尿管前行膀胱冲洗对开颅术后患者的影响。方法将100例开颅术后清醒的患者随机分为实验组和对照组各50例；实验组拔尿管前用0．02％的呋喃西林冲洗膀胱，待膀胱充盈后将尿管拔除，对照组按常规方法拔除导尿管，比较两组病人拔尿管后首次排尿时间。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，两组有显著差异（P〈0．01）。两组患者的首次排尿时间实验组为（2．5±1．09）h，对照组（3．31±1．35）h，两组有显著差异（P〈0．01）。结论开颅术后患者拔除尿管前行膀胱冲洗，能促进患者及早顺利排尿，可有效避免血压升高，预防尿潴留，减少尿道感染等并发症发生，对促进患者康复具有重要意义。

Objective To discuss the influence of bladder irrigation before pulling out catheter on the patients after craniotomy. Methods One hundred conscious patients after eraniotomy were randomized into the experimental group and control group, each with 50 cases. The experimental group was given bladder irrigation by 0. 02% liquor nitrofurazoni then pulling out uric catheter after filling of bladder, the control group was pulled out uric catheter by routine method, the first mieturition time after pulling out uric catheter of the two groups were observed and compared. Results Forty eight cases of the experimental group and thirty nine cases of the control group cart micturate by themselves, there was significantly different between the two groups （ P 〈 0. 01 ）. The first micturition time of the experimental group was （2. 5 ± 1.09） h while the control group was （3.31 ± 1.35） h, there was significantly different between the two groups （P 〈 0. 01 ） . Conclusions Bladder irrigation before pulling out uric catheter after craniotomy can promote the micturition early and favorably, avoid the elevation of blood pressure effectively, prevent the uroschesis, reduce the urethral infection and other complications, with important meaning to promote the rehabilitation of the patients.