侧孔式通气管、连通管在膀胱持续冲洗中的临床应用
Clinical application of infusion bottles connected by one vent and two connectors with side-holes for continuous bladder irrigation
曾秀育 1王华景 2任玉蓉 1谢辉忠1
作者信息
- 1. 广州军区第169医院三外科,湖南衡阳421002
- 2. 广州军区第169医院检验科,湖南衡阳421002
- 折叠
摘要
目的 探讨侧孔式通气管、连通管在持续膀胱冲洗中的应用效果.方法 210例持续膀胱冲洗患者被随机分为观察组和对照组各105例,两组均以输血器连接冲洗瓶与尿管,对照组采用单瓶500 ml冲洗法,观察组采用侧孔式通气管、连通管连接3瓶1 500 ml冲洗法.比较两组术后凝血堵管例数、膀胱痉挛例数、通气管堵塞例数,尿细菌培养检出率、离心尿沉渣红细胞计数,人均护理时数及24 h内人均耗材.结果 两组尿细菌培养、48 h尿沉渣红细胞计数等差异无统计学意义(P均>0.05);观察组24 h尿沉渣红细胞计数、凝血堵管例数、膀胱痉挛例数、通气管堵塞例数、人均护理时效及人均耗材明显较对照组少,差异有统计学意义(P均<0.01).结论 应用侧孔式通气管、连通管进行持续膀胱冲洗方便、经济,减少膀胱冲洗障碍发生,降低护士劳动强度,提高了护理工作效率.
Abstract
Objective To observe the effect of the clinical application of infusion bottles connected by one vent and two connectors with side-holes for continuous bladder irrigation. Methods 210 patients were randomly divided into control group and observation group. Infusion bottles were connected with catheters by blood transfusion apparatus in two groups. Infusion bottle was connected one by one in control group. Three infusion bottles were connected by one vent and two connectors with side-holes in observation group. The cases of clotting occlusion, bladder spasms, vent occlusion, postive of urine bacterial culture, red blood cell count of centrifugal urinary sediment, average hours of nursing and average cost in 24 hours were compared between two groups. Results No significant difference was found in bacterial culture of urine and red blood cell count of centrifugal urinary sediment in 48 hours between two groups(P>0.05). Red blood cell count of centrifugal urinary sediment in 24 hours,the cases of clotting occlusion, bladder spasms, vent occlusion,average hours of nursing and average cost in 24 hours in observation group were significantly less than those in control group (P-CO. 01). Conclusions Infusion bottles connected by one vent and two connectors with side-holes for continuous bladder irrigation are more convenient,economical and improved efficiency of nursing.
关键词
膀胱/灌洗/方法/仪器和设备Key words
Urinary Bladder/Irrigation/methods/instrumentation引用本文复制引用
出版年
2012