新型仿生学尿袋在老年患者关节置换术后的临床应用

Clinical application of neotype bionics urine bag in gerontal patients after joint replacement

目的探讨新型仿生学尿袋在关节置换术后老年患者中的应用而减少因导尿引起并发症的效果。方法选择64例留置尿管老年手术患者,随机分为试验组和对照组各32例,试验组采用新型仿生学尿袋,对照组采用抗反流尿袋,分别比较导尿至拔出尿管自行排尿时间、2次以上溢尿发生率、经诱导排尿后需要2次导尿比例、尿路感染发生率。结果试验组和对照组导尿至拔出尿管自行排尿时间分别为(64.49±4.98)h和(82.64±1.47)h,2次以上溢尿率分别为6.25%和25.00%,2次导尿比分别为15.63%和40.63%,尿路感染发生率分别为6.25%和18.75%。结论新型仿生学尿袋能缩短尿管拔出时间,促进患者自行排尿,同时减少溢尿的发生和2次导尿,明显减少尿路感染的发生,保证了老年关节置换患者的术后康复,也减少了护理工作时间。

Objective To explore the application of neotype bionics urine bag in gerontal patientsa after joint replacement to decrease complications caused by catheterication .Methods Sixty‐four gerontal patients with detaining urinary catheter were selected and randomly divided into experimental group with neotype bionics urine bag and con‐trol group with antireflux bionics urine bag ,32 cases in each group .The time from urethral catheterication to volunta‐ry micturition after pulling out catheter ,urine overflow beyond two times ,the rate of needing second urethral cathe‐terication after induced urination and the rate of urinary tract infection were compared .Results In experimental group and control group ,the time from urethral catheterication to voluntary micturition were （64 .49 ＆#177; 4 .98）h and （82 .64 ＆#177; 1 .47）h ,the rates of needing second urethral catheterication were 6 .25% and 25 .00% ,the rates of needing second urethral catheterication were 15 .63% and 40 .63% ,and the rates of urinary tract infection were 6 .25% and 18 .75% respectively .Conclusion Application of neotype bionics urine bag could shorten the time of pulling out uri‐nary catheter ,promote micturition by themselves ,decrease the rate of urine overflow and second urethral catheterica‐tion ,and reduce the incidence of urinary tract infections ,which could also ensure the postoperative rehabilitation of elderly patients after joint replacement and reduce the time of nursing .