腹部双固定导尿管法在Snodgrass术后管理中的疗效观察

Effects of double abdominal fixation approach of indwelling catheter in urinary management after operation of Snodgrass

目的探讨腹部双固定导尿管法在Snodgrass(纵切卷管式)术后管理中的临床应用效果。方法选择行Snodgrass术的尿道下裂患儿112例为研究对象,根据随机数字表法随机分为观察组和对照组各56例。观察组采用腹部双固定导尿管法,对照组采用传统大腿内侧固定导尿管法。比较2组患儿导尿管牵拉痛、引流不畅、尿瘘发生率及术后24 h内C型导管固定装置更换频次。结果观察组导管牵拉痛评分小于对照组,引流不畅发生率低于对照组,术后24 h内C型导尿管固定装置更换频次少于对照组,差异有统计学意义(P<0.05);2组尿瘘发生率差异无统计学意义(P>0.05)。结论腹部双固定导尿管法能够增强Snodgrass术后固定导尿管的牢固程度,增加舒适度,减少引流不畅,降低导管固定装置的更换频次,减轻护理人员的工作负担,可在临床推广应用。

Objective To evaluate the clinical application effect of double abdominal fixation approach of indwelling catheter in urinary management after operation of Snodgrass for hypospadias(longitudinal incision and rolling tube).Methods A total of 112 children with hypospadias who underwent Snodgrass operation were selected as the research objects and randomly divided into observation group and control group according to random number table method,56 cases in each group.The observation group was treated with abdominal double fixed catheter method,while the control group was treated with the traditional method of fixing urinary catheter in the medial thigh.The incidence of catheter traction pain,poor drainage,urinary fistula and the frequency of C-type catheter fixation device replacement within 24 h after operation were compared between two groups.Results The catheter traction pain score of the observation group was lower than that of the control group,the incidence of poor drainage was lower than that of the control group,the frequency of C-type catheter fixation device replacement within 24 hours after operation was less than that of the control group,the difference was statistically significant(P<0.05).Incidence of urinary fistula between two groups had no statistical significance(P>0.05).Conclusion Abdominal double fixed catheter method can enhance the firmness of the fixed catheter after Snodgrass operation,increase comfort,reduce the poor drainage,the replacement frequency of catheter fixation device and reduce the workload of nursing staff,which can be widely applied in clinical practice.