| [Objective] Through clinical research on double J tube elastic, double J tube furtherguidance in the clinical application of reasonable, thus reducing the chances of doubleJ tube complications.[Method] A clinical observation: The December2012to December2013at the FirstPeople’s Hospital of Chenzhou City Urology postoperative indwelling double J tube100patients. Grouping by catheterization time:15days: D group (A group of32patients);30days: Group E (38cases in group E);60day: group F (group F30patients). Determined in accordance with the patient’s condition after double J tubeindwelling time, unplug it for double J tube drained and dried on sterile gauze, airdamping electronic balance, said the weight of each double-J tube and visually doubleJ tube crystallization formation, crystallization attachment site (inner tube, pipe, theside of the hole) and record the relevant data. Then double-J tube hanging shelveshomemade elasticity measurements, measuring the degree of stretch double J tube.Choose one end of the scale to measure the use of home-made basis, a significantdouble-J tube clamped end of the scale, the measurement of double J tube length of25cm, the lower suspension500g weight, measure length change after aggravatingthing double J tube.2, in vitro experiments: Place the same batch of double J tube and grouped indifferent liquids; purified water group:(A group of20cases); acidic urine group:(B group20cases); alkaline urine group:(C Group20cases). Measurement ofdouble J tube placed in different time measurements with clinical observation (15days,30days,60days,120days) after the elasticity, weight, how crystals form.After recording the measurement data. Finally, based on statistical analysis of eachset of data, derived from intra-group differences.[Results]1In vitro analysis of double J tube in the same place without elasticdifferences at different times after pulling the same direction. For A, B, C respectively in the pairwise comparison analysis of variance conducted LSD-t testresults, P <0.05, with statistical significance that the same group of the same type ofdouble J tube in a short time (<30days) no significant change in its flexibility,prolonged indwelling double J tube (>60days) of its elasticity worse.2. Analyze whether the difference in weight change after in vitro experiments withinthe same set of double J tube placed in a different time. For A, B, C, respectively inthe three pairwise comparison analysis of variance conducted LSD-t test results, P<0.05, statistically significant, think longer be placed in the same group the sametype of time its double J tube weight than a short time to re-double J tube weight.3The analysis of models with different groups of double J tube elastic whether thedifferences in vitro experiments. That put different liquids double J tube elasticwhether the differences. Of group A and group B, A and C group group groupbetween group B and group C elastic pairwise t-test, wherein the group B and groupC P>0.05, not statistically significant, there was no significant difference in thatdouble J tube placed significant difference alkaline urine acidic urine with no elastic.A group and E group, A group C group P <0.05, with statistical significance that thedouble J tube urine were placed in the same time and pure water, the former elasticityis worse than the latter.4In vitro analysis of changes between different groups of models with or withoutdouble-J tube weight difference. Of group A and group B, A and group C, betweengroup B and group C group weight change pairwise t-test, wherein the group E andgroup C P>0.05, not statistically significant, there was no significant difference,think double J tube placed in alkaline urine acidic urine with no significant differencein their weight. B group and C group, A group C group P <0.05, statisticallysignificant, consider the same time placed in the urine of double J tube placed in aweight ratio of pure water to re-double J tube.5clinical observations collected double J tube pipe elasticity between different groupsDJ whether the differences. That patient body double J catheter tube flexibility oftime and whether the relationship. Group D and group E group E and group F, D andgroup F elastic pairwise t-test, P <0.05, with statistical significance that the double J tube in the body longer time the patient worse elasticity.6different clinical observation of double J tube weight whether the differences.Group D and group E, group E and group F, D and group F elastic pairwise t-test, P<0.05, with statistical significance that indwelling double J tube the more severe thelonger its weight.[Conclusion]1. The double J tubes placed in distilled water, its elasticity and weight changeswithin120days did not see obvious change2. Soak time phase at the same time, the double J tube respectively under acidic(PH=6.5) and urine alkaline urine (PH=7.5) in the elasticity and no differencebetween the weight3. The clinical short to medium term indwelling double J tube (<30days) willnot affect its elastic and weight, on the other hand long-term indwelling (>60days)the elasticity may be worse, its weight is heavier... |
PDF Full Text Request