序贯选用尿管联合山莨菪碱对导尿患者漏尿的干预效果研究

Study on sequential selection catheter combined with anisodamine in neurology patients with indwelling catheter about urinary leakage prevention

目的观察序贯选用尿管联合山莨菪碱对神经内科导尿患者漏尿的效果。方法240例住院且需较长时间留置尿管的患者根据入院时间随机分为对照组和观察组，每组各120例。对照组给予常规固定大小导尿管；观察组初次导尿时依据患者个体情况选用其适用的最小型号的双腔气囊尿管，并在定期更换尿管时序贯式依次加大型号，观察两组漏尿率。对出现漏尿患者，给予山莨菪碱10mg肌内注射。结果观察组漏尿率为6．67％，显著低于对照组的20．83％（X^2=10．15，P〈0．05），对漏尿患者肌内注射山莨菪碱的有效率为96．97％（32／33）。结论序贯选用尿管可显著减少漏尿的发生，山莨菪碱可有效控制漏尿，极大地减少了患者的痛苦。

Objective To observe the effect of sequential selection catheter combined with anisodamine in neurology catheterization patients about urine leakage to seek a new care pathway. Methods 240 cases of hospital- ized neurology patients with indwelling catheter for a long time were randomized. The control group received conven- tional fixed-size catheter. According to the individual patient situation, the observed patients choose smallest model ap- plicable Foley catheter when the initial catheterization, and increase the model sequential in turn periodic replacement of the catheter. The patients with leakage of urine were given anisodamine 10mg intramuscular injection, observe urine leakage rate of patients. Results The urine leakage rate was 6.67% in the observation group which was significantly lower than 20.83% in the control group（ X2 = 10. 15, P 〈 0.05 ）, the intramuscular anisodamine efficient was 32/33 （96.97%）. Conclusion Sequential selection catheter can significantly reduce the occurrence of urinary leakage, for patients with leakage of urine, anisodamine intramuscular injection can effectively control the leakage of urine, thereby greatly reducing the patient＇s pain.