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目的探讨下尿路梗阻性肾积水患者逼尿肌功能特点及测定检查过程护理配合。方法回顾性分析证实为下尿路梗阻性肾积水患者300例和下尿路梗阻非肾积水500例患者逼尿肌功能测定护理配合要点、检查结果和并发症发生情况。结果肾积水组低顺应性膀胱和膀胱活动低下发生率以及残余尿量显著高于对照组,而相对安全容量显著低于对照组(P<0.05)。逼尿肌功能测定后肾积水组发热性泌尿系感染发生率为3%,显著高于对照组(0.6%,P<0.05)。其测定过程中除一般护理配合,还应特殊护理配合,包括严格限制检查适应症、检查时间和重复检测次数、联合超声纠正膀胱容量误差、及时留置导尿管或进行有效自我清洁间歇导尿和常规预防性应用抗生素。结论下尿路梗阻性肾积水患者多伴有严重的逼尿肌功能障碍,其测定过程中除一般护理配合,还应注意特殊护理配合,以有效预防其检查引起的上尿路感染和保证测定结果准确性。
Objective To investigate the detrusor function in patients with obstructive hydronephrosis and nursing cooperation during the test. Methods Retrospective analysis confirmed that detrusor function test of 300 patients with lower urinary tract obstruction hydronephrosis and 500 patients with lower urinary tract obstruction non-hydronephrosis nursing coordination points, test results and complications. Results The incidence of low-compliance bladder and bladder activity and residual urine volume in hydronephrosis group were significantly higher than those in control group, while the relative safety capacity was significantly lower than that in control group (P <0.05). The incidence of febrile urinary tract infection in hydronephrosis was 3% after detrusor function test, which was significantly higher than that in control group (0.6%, P <0.05). In addition to the general nursing with its determination process, but also with special care and cooperation, including strict indications to check, check the time and repeat the number of tests, combined with ultrasound to correct bladder capacity error, timely catheter indwelling catheter or effective self-cleaning intermittent catheterization and Routine prophylactic antibiotics. Conclusions In patients with lower urinary tract obstruction, hydronephrosis is often accompanied by severe detrusor dysfunction. In addition to the general nursing cooperation, special attention should be paid to the prevention of upper urinary tract infection caused by the examination. Determination of the accuracy of the results.