留置气囊尿管的护理探索.docVIP

精品论文 参考文献 留置气囊尿管的护理探索 崔长英 　　（重庆市江津区中医院 重庆 江津 402260） 　　【摘要】 目的：研究留置气囊尿管的护理方法及观察效果，提出科学的对策和建议。方法：随机选择2013年1月至2014年12月留置气囊尿管的120例患者为研究对象，对照组留置乳胶气囊尿管，实验组留置硅胶气囊尿管，对比两组患者的护理方法及观察效果。结果：实验组出现并发症7例，主要有尿道感染、膀胱痉挛、尿液渗漏、拔管后尿潴留，明显优于对照组，并发症25例，除实验组出现的并发症之外，还存在尿道损伤出血、拔管困难等问题，差异具有统计学意义（P＜0.05）。结论：硅胶气囊管要比乳胶气囊管在临床护理上的优势多，抵抗细菌、简化护理操作，以及换管、消毒等工作表现良好，更适合患者病情，在临床中推广使用。 　　【关键词】 气囊尿管；并发症；护理 　　【中图分类号】R472 【文献标识码】A 【文章编号】2095-1752（2016）06-0054-02 　　Indwelling balloon urinary tube nursing exploration Cui Changying 　　 Jiangjin Hospital of Traditional Chinese Medicine Chongqing 402260,China 　　【Abstract】Objective To study the nursing method of indwelling balloon urinary tube and observation result, puts forward some countermeasures and Suggestions of science. Method Selected at random between January 2013 and December 2014, 120 patients of indwelling balloon urinary tube as the research object, the control group latex balloon urinary tube, the experimental group indwelling silicone balloon urinary tube, compared two groups of patients with the nursing method and observation results. Results The experimental group complications in 7 cases, including urinary tract infections, bladder spasm, leakage of urine, urinary retention after extubation, was better than control group, 25 cases of complications, in addition to experimental group appeared complications, there is urethral injury bleeding, decannulation difficult problems, such as statistically significant difference (P lt; 0.05). Conclusion Silicone balloon pipe than latex balloon on clinical nursing, resist bacteria, simplify the nursing procedures, as well as in tube, disinfection work performance is good, more suitable for patients, and used in clinical. 　　【Key words】Air duct; Complications; Nursing care 　　1.前言 　　实际的临床工作中，由于选择气囊尿管种类及型号不当，护理操作不当，常常会造成并发症，给患者带来伤害。因而选择合适的气囊尿管、积极改善护理操作方法及护理措施显得尤为重要，能有效的降低并发症的发生，最大限度减少病人的痛苦。 　　1.资料和方法 　　1.1 临床资料 　　本组研究随机选取某院2013年1月至2015年4月留置气囊尿管的120例留置气囊导管患者，男79例、女41例