泌尿外科患者留置双J导管并发症的观察及护理

Observation and Nursing Method in Complications of Urological Patients indwelling Double-J Catheter

目的:探讨双J导管内引流在泌尿外科患者应用中可能出现的并发症及采取的护理措施。方法:对232例应用双J导管作内引流及支架的泌尿外科患者的临床资料进行分析。结果:本组患者置管后3例切口出现少量漏尿,9例留置双J导管膀胱端有尿酸盐附着;术后随访6个月,留置双J导管期间均无腰痛、发热、尿路刺激征发生。结论:泌尿外科患者应用双J导管作内引流,可减少术后并发症发生,提高护理质量,且具有创伤小、操作简单、术后恢复快等优点。

Objective： To investigate the complications and care methods in double-J catheter drainage therapy with urological patients.Methods： Clinical data from 232 cases of urological patients who were applied double-J catheter for drainage and stent was conducted a retrospective analysis.Results： Three cases showed small leakage urine,and nine cases were found urate adhension at the end of indwelling double-J catheter at the bladder direction.All patients were followed up for 6 months,no low back pain,fever and urinary tract irritation observed during the indwelling with double-J catheter.Conclusion： With fewer traumas,simple operation,quick recovery,drainage with the double-J catheter in urological patients can reduce the incidence of postoperative complications and improve quality of nursing.