摘要
目的对泌尿外科术后带管患者发生并发症的危险因素进行分析,研究导管脱落风险评估表的临床应用价值。方法选取2014年1月~2019年1月温岭市第一人民医院泌尿外科术后带管患者220例,根据入院时间分为对照组110例(2014年1月~2016年6月,未使用导管脱落风险评估表)和观察组110例(2016年7月~2019年1月,使用导管脱落风险评估表)。收集患者的性别、年龄、是否伴发其他疾病等临床资料,统计术后并发症发生情况、脱管情况,分析其危险因素。采取防范措施。结果观察组的术后并发症发生率19.09%,显著低于对照组的31.82%(P<0.05);排尿困难的危险因素为双J管长26 cm;侧腹痛或腰疼为双J管长24 cm、26 cm;尿路刺激症为双J管过膀胱中线、管留置时间>4周、双J管长26 cm;镜下血尿为双J管长26 cm、管留置时长>4周;观察组的管道滑脱发生率9.09%,非计划性拔管率5.45%,显著低于对照组的19.09%、16.36%(P<0.05)。结论多数泌尿外科术后带管患者并发症与双J管长度及留置时间有关,导管脱落风险评估表便于及时发现管道滑脱高危患者,预防非计划性拔管情况发生。
Objective To discuss the risk factors of complications in patients with indwelling urethral catheter(IUC)after urinary surgery and to evaluate the clinical application of catheter slippage risk assessment form.Methods From January 2014 to January 2019,220 patients with IUC after urinary surgery in Wenling First People’s Hospital were enrolled.Among them,110 patients admitted from January 2014 to June 2016 were assigned into the control group(with no catheter slippage risk assessment form),while 110 patients admitted from July 2016 to January 2019 were assigned in the observation group(with catheter slippage risk assessment form).Clinical data such as gender,age and other diseases were collected and postoperative complications were recorded and compared between the two groups.Results The incidence of postoperative complications was significantly lower in the observation group than that in the control group(19.09%vs 31.82%;P<0.05).The risk factor was double J tube length of 26 cm for dysuria,double J tube length of 24 cm or 26 cm for side abdominal pain or back pain,double J tube pass above the bladder midline,tube indwelling period of>4 weeks and double J tube length of 26 cm for urinary tract irritation,double J tube length of 26 cm for microscopic hematuria and catheter slippage for urinary infection(P<0.05).The catheter slippage rate and unplanned catheter removal rate were 7.59%and 5.45%in the observation group,which were lower than those of 19.09%and 16.36%in the control group,the differences were statistically significant(P<0.05).Conclusions The occurrence of complication in patients with IUC after urinary surgery is related to the length of the double J tube and the duration of the indwelling.The application of catheter slippage risk assessment form facilitates the timely identification of high-risk patients with tube slippage and prevents unplanned removal of catheter.
作者
陈慧婷
邵健智
CHEN Hui-ting;SHAO Jian-zhi(Department of Urology,Wenling First People′s Hospital,Wenling,Zhejiang 317500,China;不详)
出处
《中国预防医学杂志》
CAS
CSCD
2020年第6期662-665,共4页
Chinese Preventive Medicine
基金
浙江省科研基金资助项目(2018HU398)
作者简介
陈慧婷,本科,主管护师,主要从事泌尿外科工作;通信作者:邵健智,E-mail:wuyake78774@163.com
