摘要目的 提高男性患者导尿成功率,减轻不适.方法 将68例男性患者随机分为常规组和实验组,各34例.两组均按常规评估与消毒,选用统一型号双腔气囊尿管,常规组轻握持阴茎海绵体部,提起使之与腹壁成60°角置入尿管;实验组则从海绵体两侧固定阴茎并向上轻提拉,使阴茎与身体纵轴垂直(90°角)置入尿管.观察比较两组患者置管成功率、耐受性、血尿情况.结果 实验组患者一次性置管成功率明显高于常规组;出现异物感、尿意等不适及血尿情况明显少于常规组(P<0.05).结论 从海绵体两侧固定阴茎并向上轻提拉,使阴茎与身体纵轴成90°角置入尿管,可提高置管成功率,减少并发症,减轻患者不适.

abstractsObjective To improve the success rate of male patients' urinary catheterization and relieve their discomfort.Methods Sixty-eight male patients were randomly divided into two groups, conventional group and experimental group, each with 34 patients. Regular evaluation and disfection were taken and uniform double channel catheters were used in both groups. In conventional group, the cavernous body was hold lightly and raised to a 60-degree angle with the abdominal wall for catheterization. In experimental group, both sides of the cavemous body were fixed and pulled to a 90 °angle with the body longitudinal axis for catheterization . The success rate, tolerance, and hematuria situation of catheterization were observed and compared between both groups.Results The one-time success rate of catheterization in experimental group was significantly higher than that in conventional group.The discomforts like foreign body sensation and urinary reflex were significantly less in experimental group than those in conventional group.Conclusions Fixing the penis from both sides of the cavernous body and pulling the penis lightly to a 90 ° angle with the body longitudinal axis can improve the success rate of urinary catheterization, reduce complications and relieve patients' discomfort.