留置气囊导尿管病人无痛拔尿管方法的研究

Study for the method of painless removing Foley's catheters for male patients with indwelling catheter

目的探讨手术病人拔出尿管的最佳方法,提高病人在拔出尿管时的舒适度。方法选择2010年1～6月开胸及胃肠外科手术患者50例为对照组,2010年7月～2011年4月开胸及胃肠外科手术患者50例为实验组。对照组在膀胱空虚的情况下将尿管气囊中的水用注射器抽净,将尿管拔出。实验组采用多孔三腔气囊导尿管,拔出尿管时,先注入石蜡油5ml,再注入地塞米松5mg加2%利多卡因5ml,拔除气囊导尿管。分析比较两组患者的疼痛程度和拔管后排尿情况。结果两组患者的疼痛程度差异有显著意义(Z=-8.758,P=0.000),拔管后排尿情况实验组明显优于对照组。结论实验组无痛拔尿管方法可以减轻病人的痛苦,减少病人拔管后的并发症,提高病人拔管的舒适度。

Objective To study the best method of removing Foley＇s catheters for patients after the operation and to improve the degree of comfort of patients when removing Foley＇s catheters. Method 100 patients with thoracic and gastrointestinal surgery were randomly divided into experimental and control group, 50 patients in each group. The control group used the normal method to remove Foley＇s catheters. For the experimental group, All patients were treated with the porous three cavities Foley＇s catheter, before Foley＇s catheters were removed, inject 5mL paraffin oil, dexamethasone 5mg and 2% lidocaine 5mL, then taken out of all liquid and remove Foley＇s catheters. Further more, the degree of painfulness and the situation of urinate function in the two groups were analyzed and compared by investigators. Result The degree of painfulness in the two groups have a remarkable statistic meaning （Z=8. 758, P=0. 000）. Meanwhile, the situation of urinate function after drawing Foley＇s catheters in experiment group was observably better than that of control group. Conclusion The method of painless removing Foley＇s catheters can reduce the degree of pain and the complications after extubation and improve the degree of comfort after extubation.