Catheter Retention Time Research Articles

Traditional Chinese medicine combined with transurethral resection of prostate for benign prostatic hyperplasia

Objective To observe and compare the clinical effect of traditional Chinese medicine (TCM)combined with transurethral resection of prostate(TURP) and simple TURP in treating benign prostatic hyperplasia (BPH). Methods 60 patients with BPH were randomly divided into two groups. The treatment group(n=30) was given the TCM combined TURP and the control group(n = 30) was given TURP alone. The effects were observed.Results Improvement of lower urinary tract symptoms(LUTS), the international prostate symptom score (I-PSS) of the treatment group was better than that of the control group with significant difference (P ＜ 0.01). The time and quantity of bladder irrigation, incidence of bladder spasm, incidence of constipation after operation of the treatment group were less than that of the control group with significant difference(all P ＜0.05). Catheter retention time,postoperative bleeding, urinary retention were less and had no significant difference between the two groups (all P ＞0. 05). Conclusion The effect of TCM combined with TURP was significantly superior to that of simple TURP; and adverse reaction after treatment was less than that in the control group. Key words: Benign prostatic hyperplasia; Traditional Chinese medicine; Transurethral resection of prostate

Nursing measures and retention time of central venous catheter in esophageal cancer patients underwent radical operation

Objective To explore nursing measures and retention time of central venous catheter in esophageal cancer patients underwent radical operation. Methods According to retention time of central venous catheters, a total of 90 cases of esophageal carcinoma patients were randomly divided into three groups: 31 cases with 5 days retention time in group Ⅰ , 29 cases with 7 days retention time in group Ⅱ; 30 cases with 10 days retention time. Complications of central venous catheter including swelling and pain in punition site, fever,extravasation, extrusion and block of catheter and the bacterial culture of central venous catheter were compared among three groups. Results Incidence of complications in group Ⅰ,group Ⅱ and group Ⅲ were 3.2%,20.6% and 46.7% respectively. The differences were significant( P ＜ 0.01 ). As for the positive of bacteria culture, differences among three groups were significant too, with no case in group Ⅰ , one case in group Ⅱ and 4cases in group Ⅲ. Conclusions Retention time of central venous catheter should under 7 days. Retention time depends on the quality of nursing care. Key words: Esophageal cancer radical operation; Central venous catheter; Indwelling time; Nursing

Exploration on the retention time of PICC catheter in elderly patients

目的 分析影响老年人PICC管留置时间的因素,探讨如何延长PICC置管时间和保障老年患者输液治疗的护理措施.方法 356例需留置PICC管的60岁以上老年人,按规程进行PICC置管、输液和日常护理,详细记录病例资料,进行统计分析.结果 353例置管成功占98.1%,平均留置时间(57.9±27.0)d;提前拔管43例占12.2%,拔管原因有堵管、静脉炎、感染或疑似感染.结论 强化置管及使用操作者的护理技能培训,严格操作规程,可以减少静脉炎、堵管和感染并发症,延长PICC留置时间,保证治疗完成,减少患者痛苦。

Subcutaneous tunneling of caudal catheters reduces the rate of bacterial colonization to that of lumbar epidural catheters.

Bacterial colonization is regarded as a causative factor for septic complications of caudal catheters in children. To determine whether tunneling caudal catheters reduces the bacterial colonization rate effectively, we evaluated 506 children being treated with tunneled or untunneled caudal or untunneled lumbar epidural catheters. Four-hundred-nine children completed the study. After aseptic removal, the catheters were cultured and sent for microbiological assessment. We found a bacterial colonization rate of 29% in untunneled caudal catheters, 11% in tunneled caudal catheters, and 9% in untunneled lumbar catheters. No severe infectious complications were reported. There was no correlation between catheter retention time and bacterial colonization except for the first 24 h, during which no bacterial colonization was detected. The overall colonization rate remained constant at approximately 13%. We found a positive correlation between bacterial colonization and redness at the catheter entry site. We conclude that tunneled caudal epidural catheters can be used in children for postoperative analgesia without an increased risk of epidural infection.