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目的比较传统手法夹闭潮式引流术、自动夹闭潮式引流法对留置导尿管患者膀胱功能的训练效果。方法选取医院收治的留置尿管患者80例,随机分为对照组和试验组,每组40例。对照组于置管期间采用传统手法夹闭潮式引流术进行膀胱功能训练,试验组于置管期间采用自动夹闭潮式引流法。观察比较2组拔管后首次排尿时间及膀胱功能训练消耗时间、排尿情况(自行排尿、诱导排尿、再次导尿),比较2组尿管留置第4、7、10天尿路感染情况。结果试验组首次排尿时间、膀胱功能训练消耗时间短于对照组(P<0.05)。试验组自行排尿率高于对照组,诱导排尿率、再次导尿率低于对照组(P<0.05)。2组尿培养阳性率比较,差异无统计学意义(P>0.05);尿管留置第7、10天时,2组尿培养阳性率高于尿管留置第4天(P<0.05);尿管留置第10天时,2组尿培养阳性率高于尿管留置第7天(P<0.05)。结论自动夹闭潮式引流对留置尿管患者膀胱功能的训练效果优于传统方式,其可更有助于提高患者自主排尿,并可降低尿路感染,同时较少护理量。
Objective To compare the traditional technique of clamping tidal drainage and automatically tamping tidal drainage method for urinary bladder catheterization patients with bladder function training effect. Methods Eighty patients with indwelling catheter admitted to hospital were randomly divided into control group and experimental group, 40 cases in each group. The control group during the catheterization by tidal drainage technique used to carry out bladder function training, the experimental group during catheterization using automatic clamping tidal drainage method. The urinary excretion time, urinary bladder excretion time (urination, induced urination and catheterization again) in the two groups after extubation were compared. Urinary tract infection at the 4th, 7th and 10th days in the two groups was compared. Results The urination time and bladder function training time of the experimental group was shorter than that of the control group (P <0.05). The rate of spontaneous urination in the test group was higher than that in the control group, urination rate was induced, and the rate of catheterization again was lower than that of the control group (P <0.05). The positive rates of urinary culture in the two groups were not significantly different (P> 0.05). The positive rates of urine culture in the two groups on the 7th and 10th days were higher than those on the 4th day (P <0.05) On the 10th day of retention, the positive rate of urinary culture in the two groups was higher than that on the 7th day of catheter indwelling (P <0.05). Conclusions Auto-clipped tidal drainage is superior to traditional methods in training bladder function of indwelling urinary catheter. It can help to increase urination of patients and reduce urinary tract infection with less nursing dose.