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Lying under two different specific gravity liquids of different balloon catheter infiltration of urine

Heavy liquid (76 diatrizoate and saline) to observe the situation in male patients with urinary infiltration, comparing the proportion of liquid in two different infiltration of urinary catheter lying under the circumstances, are as follows. An object and methods 1.1 Object Selection in March 2007 ~ January 2009 intensive care unit (1CU) 326 cases of male patients with indwelling catheter were randomly divided into two groups: 76 diatrizoate group (experimental group) and physiological saline group (control group) of the 163 patients. One set of conditions: age 18 to 65 years; excluded patients with previous urinary tract irritation; excluded patients who can not take half-lying position. The control group aged 18 to 65 years, mean 47.2 years old. Experimental group aged l9 ~ 65 years,[link widoczny dla zalogowanych], mean 44.7 years old. Two groups of patients age, condition and other general information, the difference was not significant. 1.2 Methods 1.2.1 to exclude injection by balloon catheter type and amount of fluid caused by differences in urine volume on the permeability of all subjects are used 16F Foley catheter, the balloon injection liquid 15ml_1] . The structure of the catheter balloon catheter different from ordinary, and its distance from the top to the air bag 5 ~ 6cm,[link widoczny dla zalogowanych], so see the urinary catheter will be inserted into more than 6cm, and then injected into the liquid filling the corresponding air bags, then catheterization tube pulled out slowly so far to have resistance. 1.2.2 the experimental group and control group randomly assigned groups, were observed in supine and semi-recumbent position of the 24h,[link widoczny dla zalogowanych], recorded under two different infiltration lying in urine and the number of cases the infiltration of urine and total 24h urine. 1.3 determine the standard test of time,[link widoczny dla zalogowanych], the patient sets the urethra to storage bags, cups and accurate measurement of the amount of seepage urine. Calculate the infiltration of urine and the same time the percentage of the total urine volume and the percentage is greater than 3O9 / 5 for the large number of infiltration of urine, 1O ~ 30 for the moderate infiltration of urine, the urine is less than 1O for the small amount of infiltration. Catheter blockage caused due to infiltration of urine, such as catheter patency in patients with no infiltration of urine were not after the total number of patients in the infiltration of urine. Statistical analysis used statistical methods 1.4 x test. 2 Results (Table 1,2) Table 1 groups the urine of patients supine infiltration case patients () Nurses Training March 1O, 2009 Volume 24 20 Table 2. The experimental group injected into the balloon under both supine diatrizoate 76% of the infiltration of urinary catheter when the case patients (), respectively, the experimental group the table data of two observations can be seen lying in the experimental group than the control group the number of cases of urinary infiltration significantly reduced infiltration of urine, whether large, medium amount of urine or a small amount of seepage of urine seepage case, the two groups was significant statistically significant. Semi-recumbent position and the experimental group when compared with the supine position to further reduce the number of cases of urinary infiltration, mainly large and medium-size to further reduce the amount of seepage of urine (P <0.01), statistically significant, but not effective in reducing the small amount of seepage of urine . 3 to discuss the process of indwelling catheter drainage catheter urine spills and smooth or not, the bladder function, role reversal is in place, the urethral sphincter relaxation, and whether other factors associated with various complications have relations [2]. However, these factors are often the method can not be solved by care (except catheter blockage outside), so we can do is balloon catheter through various means uniform coverage at the bladder neck, so that the mouth of the chimeric and urethra good, effective way to avoid urine leakage. However, due to material factors and the balloon catheter into the impact of liquid (saline specific gravity of 1.004, for urine specific gravity 1.015 ~ 1.025), so the buoyancy of air bag is easy to make balloon drift, caused by seepage of urine. Experimental results show that balloon into the matter when we make a specific gravity of 1.42 for 769 / 5 meglumine solution, the permeability decreased urinary conditions, in particular, semi-recumbent group as full play the role of gravity, the effect is significant. It is worth mentioning that the experimental group, 76 the use of diatrizoate injection fluid bag, the results of no case of catheter itself detached situation. This may also benefit from the 76 diatrizoate highly viscous liquid, the liquid is not easy from inside the balloon slowly leak into the side, thus effectively avoiding the occurrence of detached conditions. In short, the catheter balloon 76 diatrizoate injection liquid can effectively reduce the number of cases of infiltration and seepage of urine urine. At the same time, such as the balloon catheter into the higher proportion of the liquid inside, take Banwo potential to further reduce the large number of patients in the amount of seepage of urine. Into the balloon catheter 76 meglumine, especially semi-recumbent position to take is to solve the male urinary catheterization in patients with catheter penetration possibilities.
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