留置导尿管球囊容积与疼痛及与导管相关的膀胱不适相关性评估：一项前瞻性研究。
Evaluation of pain and catheter-related bladder discomfort relative to balloon volumes of indwelling urinary catheters: A prospective study.
机构信息
Department of Urology, Bicêtre Hospital, Le Kremlin-Bicêtre, France.
Department of Surgery, Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia.
出版信息
Investig Clin Urol. 2019 Jan;60(1):35-39. doi: 10.4111/icu.2019.60.1.35. Epub 2018 Dec 6.
PURPOSE
To evaluate patients' tolerance to indwelling urinary catheters (IUCs) before and after reducing their balloon volumes. IUCs are a source of discomfort or pain.
MATERIALS AND METHODS
All consecutive patients hospitalized in our department with IUCs were included during the study period with some exclusion. Each patient was his/her own control before and two hours after reduction of the balloon volume (RBV) by half using two types of assessments, a visual analog scale for pain and a catheter-related bladder discomfort (CRBD) symptom questionnaire.
RESULTS
Forty-nine patients were included in our study that completed the assessments. The mean scores for pain before and after RBVs were 2.80 and 2.02, respectively. The difference was significant (p<0.05). The mean grades of the CRBD before and after RBVs were 1.02 and 0.75, respectively. The difference was significant (p<0.05).
CONCLUSIONS
A 50% RBV has shown a significant amelioration in tolerating the catheter.
目的
评估患者留置导尿管（IUC）前和减少球囊体积后的耐受情况。IUC 是引起不适或疼痛的根源。
材料与方法
研究期间，所有在我科住院并留置导尿管的连续患者均被纳入研究，同时排除了部分患者。每位患者均为自身对照，在球囊体积（RBV）减少一半后（使用两种评估方法），于减容前和减容后两小时进行疼痛的视觉模拟评分和与导尿管相关的膀胱不适（CRBD）症状问卷评估。
结果
本研究共纳入 49 例完成评估的患者。RBV 前后疼痛评分均值分别为 2.80 和 2.02，差异具有统计学意义（p<0.05）。RBV 前后 CRBD 评分均值分别为 1.02 和 0.75，差异具有统计学意义（p<0.05）。
结论
球囊体积减少 50%可显著改善对导管的耐受性。
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