手法干预在泌尿外科男性患者术后拔除尿管中的应用研究.

Objective To explore the clinical effect of manual intervention on relieving the pain stimulus and lower urinary tract symptoms（LUTS） of male patients after catheter removal, and to guide effective intervention measures to alleviate the discomfort of patients after catheter removal.Methods From February 2020 to February 2021,a totoal of 266 male patients admitted to the Department of Urology of this Hospital and needed catheter removel were divided into the study group and the control group by computer random number table method, with 133 cases in each group.The control group pulled out the catheter according to the routine operation process.The study group used manual intervention to clamp the catheter before pulling out the catheter until the patient complained of urination.When pulling out the catheter, the penis was raised to 60 with the abdominal wall.During the removal process, the catheter was slowly removed by rotating left and right alternately.The pain score after catheter removal, LUTS during urination and the rate of catheter replacement were compared between the two groups.Results LUTS and pain in the study group were significantly better than those in the control group, and the difference were statistically significant（P<0.05）;There was no significant difference between the two groups in the rate of urinary tube replacement（P>0.05）.Conclusion In the process of catheter removal for male patients, the improvement of the removal technique based on the routine operation process can reduce the pain during catheter removal and LUTS after catheter removal. [ABSTRACT FROM AUTHOR]