一种改良拔管方法在留置气囊导尿管患者的应用

Application of a modified technique for extubation of indwelling balloon catheter

目的探讨气囊导尿管改良拔管方法的临床疗效。方法 100例留置气囊导尿管的患者均分为两组:A组拔尿管前抽尽气囊内液体后再回注1ml液体,采取膀胱充盈状态下联合自主排尿脱管方法拔管;B组按常规拔尿管方法。比较两组患者的拔管疼痛、排尿情况和护理满意度。结果与B组比较,A组拔管后自主排尿高(80.0%vs.98.0%)(P<0.05)、尿路刺激征发生率低(74.0%vs.2.0%)(P<0.01),无肉眼血尿;A组拔管疼痛程度0级率显著高于B组(86.0%vs.4.0%)(P<0.01),护理满意度明显高于B组(96.0%vs.56.0%)(P<0.01)。结论留置气囊导尿管液体回注联合膀胱充盈状态下的自主排尿脱管方法能有效降低拔管并发症,是一种安全、舒适、满意的拔管方法。

Objective To observe the outcomes of a modified technique for extubation of indwelling balloon catheter. Methods One handred patients with indwelling balloon catheter were equally assigned into two groups. The catheter in group A was extubated in a modified method as follows. After the balloon was deflated,the balloon was refilled with liquid 1 ml and the catheter was pulled out while the bladder was in the state of filling. The catheter in group B was extubated in a conventional manner. The urinary tract irritation and pain during urination and nursing satisfaction were recorded and compated between two groups. Results Compared to group B, group A after extubation had higher rate of autourination（80.0% vs. 98.0%）（P〈0. 05）, lower incidence of urinary tract irritation（74. 0 % vs. 2.0 % ）（P〈0. 01）, and no case with gross hematuria. The incidence of pain of grade 0 after extubation was higher in group A than that in group B（86.0% vs. 4.0%） （P〈0. 01）. The satisfaction rate to nursing was higher in group A than that in group B（96.0% vs. 56.0%） （P〈0. 01 ）. Conclusion The modified technique mentioned above is effective, safe and satisfactory with less complications for the extubation in the patients with indwelling balloon catheter.