前列腺电切术后应用橡胶塞固定气囊尿管的护理效果

曾芝云　刘丽　张锦莲

[摘要] 目的 探討前列腺电切术后患者采用橡胶塞牵拉固定气囊尿管的护理效果。方法 方便选取2015年1月—2017年7月该院收治的98例前列腺电切术患者，随机分为对照组与观察组各49例。对照组导尿后将尿管牵拉至适当力度，用胶布固定于大腿内侧；观察组采用橡胶塞牵拉固定气囊尿管的方法，将消毒橡胶塞穿过导尿管实施导尿后，采用适当力度牵拉尿管压迫膀胱颈部，固定橡胶塞于尿道外口，用胶布固定尿管于大腿内侧。比较两组患者尿红细胞计数、牵拉时间、尿管堵塞与下肢静脉栓塞发生率、舒适度及护理满意度的差异。结果 观察组患者尿红细胞个数及牵拉固定时间显著低于对照组，其舒适度评分显著高于对照组，比较差异有统计学意义（P<0.05）；观察组患者尿管堵塞率、下肢静脉血栓发生率分别为4.1%、2.0%显著低于对照组24.5%、16.3%，其护理满意率为93.9%显著高于对照组77.6%，比较均差异有统计学意义（P <0.05）； 结论 应用橡胶塞牵拉固定气囊尿管对前列腺电切术后止血效果显著，患者尿管堵塞少，下肢静脉血栓发生率降低，提高了患者舒适度与护理满意度，减少了并发症的发生，护理效果满意，值得临床推广使用。

[关键词] 前列腺电切术；留置尿管；牵拉固定；止血；护理

[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2018）03（c）-0143-04

Nursing Effect of Rubber Plugs in Fixing the Balloon Urinary Catheter after the Transurethral Resection of Prostate

ZENG Zhi-yun， LIU Li， ZHANG Jin-lian

Department of Nursing， Jiexi Peoples Hospital， Jiexi， Guangdong Province， 515400 China

[Abstract] Objective To study the nursing effect of rubber plugs in fixing the balloon urinary catheter after the transurethral resection of prostate. Methods 98 cases of patients with transurethral resection of prostate admitted and treated in our hospital from January 2015 to July 2017 were convenient selected and randomly divided into two groups with 49 cases in each， the control group pulled the urinary catheter to the proper dynamics after catheterization to fix the cloth plaster in the femoribus internus， while the observation group used the rubber plugs in fixing the balloon urinary catheter， which made the disinfection rubber plugs through the catheterization to pull the catheter to oppress the neck of the bladder by the proper dynamics to fix the rubber plugs in the orificium urethrae externum and fix the catheter in the femoribus internus by the cloth plaster， and the RBC count， pulling time， incidence rates of catheter obstruction and lower limb vein embolism， comfort degree and nursing satisfactory degree were compared between the two groups. Results The RBC number and pulling fixation time in the observation group were obviously lower than those in the control group， and the comfort degree score was obviously higher than that in the control group， and the differences were statistically significant（P<0.05）， and the incidence rates of catheter obstruction and lower limb vein embolism in the observation group were obviously lower than those in the control group，（4.1%， 2.0% vs 24.5%， 16.3%）， and the nursing satisfactory rate was obviously higher than that in the control group（93.9% vs 77.6%）， and the difference was statistically significant（P<0.05）. Conclusion The hemostatic effect of rubber plugs pulling in fixing the balloon urinary catheter after the transurethral resection of prostate is obvious， with few catheter obstruction， which can decrease the incidence rate of lower limb venous thrombosis and improve the comfort degree and nursing satisfactory degree and reduce the occurrence of complications， and the nursing effect is satisfactory， which is worth clinical promotion and application.

[Key words] Prostatic electrocision； Indwelling catheter； Pull for fixation； Hemostatic； Nursing

前列腺增生症是临床上常见及多发的男性疾病之一，随着老龄化的加剧，其发病率呈逐年增加的趋势，经尿道前列腺电切术（Transurethral Resection of Prostate，TURP）是治疗该疾病的首选术式[1-2]，具有手术时间短、创伤小、恢复快等优点，但术后出血及尿管堵塞等并发症，可影响患者的康复，延长住院时间。为了取得最佳止血效果，该院于2015年1月—2017年7月先后采用大腿内侧固定法与橡胶塞牵拉固定气囊尿管法固定TURP尿管98例，探讨橡胶塞牵拉固定气囊尿管法对TURP术后止血、尿管堵塞与下肢静脉血栓发生率、舒适度及护理满意度等方面的护理效果，现报道如下。……