留置尿管患者计量尿量方法的探讨

目的探讨留置尿管患者准确计量尿量的方法,规范临床护理质量管理工作。方法选取60例留置尿管的住院患者,同时采用直接目测法和手提目测法计量尿袋尿量,与量杯测量法所得数值进行比较,并分析尿量数值的差异性。结果直接目测法与手提目测法所得尿量数值相近,但与量杯测量所得数值均具有显著性差异(P<0.01)。结论量杯测量尿量法是唯一客观准确的测量方法,在临床应对需记录尿量的患者使用量杯测量法,为医生的诊断和治疗提供客观、科学的数据,提高护理质量。

Underpad weight to estimate urine output in adult patients with urinary incontinence

To the Editor Monitoring urine output remains essential to the care of adult patients admitted to the hospital. In acute, decompen- sated heart failure, ongoing assessment of urine output is required to adjust diuretic dosing in keeping with current recommendations for hospitalized patients, In patients with acute kidney injury, assessment of urine output is essential for diagnosis and management. The diagnosis of circulatory shock is supported by renal hypoperfusion as measured by low urine output. Indwelling urinary cathe- ters are routinely used for the ＂strict＂ monitoring of urine output, which is an accepted indication.