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髋关节置换术患者侧卧位导尿效果观察
引用本文:黎桂芳,钟文慧,翁丽芳,黄珠群,李丽华,黄丽萍,林丽芳. 髋关节置换术患者侧卧位导尿效果观察[J]. 护理学杂志, 2011, 26(20): 4-5. DOI: 10.3870/hlxzz.2011.20.004
作者姓名:黎桂芳  钟文慧  翁丽芳  黄珠群  李丽华  黄丽萍  林丽芳
作者单位:广东省中医院珠海医院手术室,广东珠海,519015
摘    要:目的探讨髋关节置换术患者侧卧位留置导尿管操作流程及其效果。方法将60例髋关节置换术患者按手术时间的单双日分为对照组和观察组各30例。对照组按常规方法于椎管内麻醉后置平卧位行导尿术,导尿后摆放手术体位;观察组椎管内麻醉后(患肢在上)不改变体位(侧卧位)实施导尿术。结果观察组皮肤损伤、尿道损伤、一次性导尿成功率与对照组比较,差异无统计学意义(均P>0.05);切口标记移位和手术准备时间与对照组比较,差异有统计学意义(P<0.05,P<0.01)。结论髋关节置换术患者麻醉后采取侧卧位导尿,有利于缩短手术准备时间,避免手术切口标记移位。

关 键 词:髋关节置换术  侧卧位  导尿  椎管内麻醉  皮肤损伤  尿道损伤  标记移位

Effectiveness of urethral catheterization with lateral position in hip replacement
Li Gui fang,Zhong Wenhui,Weng Lifang,Huang Zhuqun,Li Lihua,Huang Liping,Lin Li fang. Effectiveness of urethral catheterization with lateral position in hip replacement[J]. Journal of Nursing Science, 2011, 26(20): 4-5. DOI: 10.3870/hlxzz.2011.20.004
Authors:Li Gui fang  Zhong Wenhui  Weng Lifang  Huang Zhuqun  Li Lihua  Huang Liping  Lin Li fang
Affiliation:Li Guifang,Zhong Wenhui,Weng Lifang,Huang Zhuqun,Li Lihua,Huang Liping,Lin Lifang(Operating Room,Zhuhai Branch,Guangdong Provincial Hospital of Traditional Chinese Medicine,Zhuhai 519015,China)
Abstract:Objective To explore operating process and effectiveness of urethral catheterization in lateral position for hip replacement.Methods Sixty patients undergoing hip replacement were divided into two groups of 30 according to odd or even numbers of surgery dates.The control group received urethral catheterization in supine position after spinal anesthesia and then patients were placed in operative position.The observation group received urethral catheterization in lateral position after spinal anesthesia,with ...
Keywords:hip replacement  lateral position  urethral catheterization  spinal anesthesia  skin injury  urethral injury  displacement of incision mark  
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