留置双腔气囊导尿管应用输液器行膀胱冲洗出现尿潴留的护理

Indwelling double lumen catheter application infusion bladder washout nursing retention of urine

目的探讨留置双腔气囊导尿管应用输液器行膀胱冲洗出现尿潴留的护理方法及其效果.方法：将2008 年9 月-2012 年9 月入住我院的100 例行留置双腔气囊导尿管膀胱冲洗出现尿潴留患者按照抽签法随机地均分为对照组与观察组,各为50 例.对照组给予传统膀胱冲洗法,观察组给予输液器膀胱冲洗法,对比两组冲洗后的冲洗效果.结果：观察组冲洗后尿潴留症状完全消除,而对照组还有6 例有不同程度的尿潴留症状,而且观察组出现脱管与漏液例数及尿培养细菌检出率均要明显低于对照组,冲洗液浪费量、操作时间以及冲洗器材所需费用均要明显低于对照组（P〈0.01）.观察组患者冲洗后并发症较少,其中术后血肿、感染的发生率明显低于对照组,p〈0.05,具有统计学意义;而术后尿潴留、肉眼血尿及轻度腰疼的发生率两组较为相近,无明显差异（p〉0.05）.结论：留置双腔气囊导尿管应用输液器行膀胱冲洗法,其效果显著,费用低,操作简便,应在临床上加以推广并应用.

Objective To investigate the application of indwelling double-lumen balloon catheter infusion nursing methods of bladder irrigation of urinary retention occurredand its effect. Methods： from 2008 September -2012 year in September in our hospital 100 cases of indwelling Foley catheter bladder irrigation in patients with urinary retention inaccordance with randomly to divided into control group and observation group, 50 cases in each. The control group was given traditional irrigation of bladder, the observation groupwas given bladder infusion flushing method, comparing the two groups after washing and flushing effect. Results： the observation group after flushing the symptoms of urinaryretention is completely eliminated, while the control group and 6 cases with symptoms of urinary retention in different degree, and the observation group to appear off the tube cultureand liquid leakage cases and urinary bacterial detection rate was significantly lower than the control group, the amount of waste flushing fluid, operation time and washing equipmentcost to be significantly lower than the control group （P 〈 0.01）. Conclusion： indwelling double lumen catheter infusion of bladder irrigation application, the effect is obvious, low cost,simple operation, should be promoted and applied in clinic.