留置导尿拔管后预防尿潴留方法探讨

目的预防女性病人留置导尿拔管后尿潴留。方法随机将 76例女性留置导尿病人分为两组各 38例 ,观察组在膀胱部分充盈状态下 ,采取电脑脉冲按摩 2 0min后 ,膀胱内注入 2 %利多卡因 5 0mg、氧氟沙星 0 .2g加 0 .9%氯化钠注射液 10 0ml后拔管 ;对照组采用常规拔管法。结果观察组拔管后排尿情况显著优于对照组 (χ2 =2 3.93,P <0 .0 1) ,首次排尿时间显著短于对照组 (χ2 =11.81,P <0 .0 1)。结论拔管前脉冲按摩治疗联合膀胱内注药 ,可有效预防拔管后尿潴留。

Prevention of Uroschesis Following Removal of Indwelling Catheter

Objective To prevent the uroschesis in the female patients following removal of indwelling catheter. Methods Seventy-six female patients with cerebrovascular diseases were randomly divided into two groups equally. In the observation group under the part filling of bladder, computerized pulse massages were given for 20 min followed by removal of the indwelling catheter after injection of 2% Lidocain 50 mg, Ofloxacin 0.2 g and normal saline 100 ml into the bladder. But in the control group, routine decannulation method was used. Results Emiction after decannulation in the observation group was superior to that that in the control group (P<0.01). The initiation time of emiction in the observation group was shorter than in the control group (P<0.01). Conclusion Computerized pulse massages in combination with injection of bladder before decannulation can effectively prevent uroschesis following the removal of the indwelling catheter.