本文選題：雙J管　切入點：彈性　出處：《南華大學》2014年碩士論文

【摘要】：【目的】 通過對雙J管彈性的體外試驗與臨床研究，進一步指導雙J管在臨床中的合理應用，從而減少雙J管并發(fā)癥的發(fā)生。 【方法】 1、體外實驗：將同批號的雙J管60根分別浸泡于蒸餾水組：（A組）；酸性尿組：（B組）；堿性尿組：（C組）。浸泡15天，30天，60天，120天后取出雙J管測量其彈性、重量。 2、臨床觀察：將2012年12月至2013年12月在郴州市第一人民醫(yī)院泌尿外科手術(shù)術(shù)后留置雙J管病人100例。按留置體內(nèi)時間分組：15～29天：D組（D組42例）；30～59天：E組（E組48例）；≥60天：F組（F組10例）。拔出雙J管后將其濾干，稱重量。再將雙J管懸掛在自制彈性測量架上，測量伸展度（彈性）。 【結(jié)果】 1.分析體外實驗中同組內(nèi)雙J管置于不同時間后再相同牽拉方向下有無彈性差異。對A、B、C組內(nèi)分別進行兩兩比較t檢驗,在蒸餾水組(A組)中P值均0.05，不具有統(tǒng)計學意義。在酸性尿組（B組）與堿性尿組（C組）中，浸泡時間30天的組P值均0.05，不具有統(tǒng)計學意義；浸泡時間60天組P值均0.05，認為同一組內(nèi)同型號的雙J管短時間內(nèi)（30天）其彈性無明顯變化，長時間留置雙J管（60天）其彈性越差。 2.分析體外實驗中同組內(nèi)雙J管置于不同時間后有無重量變化差異。對A、B、C三組內(nèi)分別進行兩兩比較t檢驗，在蒸餾水組(A組)中P值均0.05，不具有統(tǒng)計學意義。在酸性尿組（B組）與堿性尿組（C組）中，浸泡時間30天的組P值均0.05不具有統(tǒng)計學意義；浸泡時間60天組P值均0.05，認為同一組內(nèi)同型號置于時間較久的雙J管其重量較時間短的雙J管重量要重。 3.分析體外實驗中不同組間同種型號雙J管彈性有無差異。即置于不同液體的雙J管彈性有無差異。對A、B、C三組進行方差分析兩兩比較LSD-t檢驗、其中B組與C組P值0.05，不具有統(tǒng)計學意義，無顯著性差異，認為雙J管置于酸性尿與堿性尿中彈性無顯著差異。A組與B組、A組與C組P值均0.05，具有統(tǒng)計學意義，認為雙J管分別置于相同時間的尿液和蒸餾水中，前者彈性要差于后者。 4.分析體外實驗中不同組間同種型號雙J管重量變化有無差異。對A、B、C三組進行方差分析兩兩比較LSD-t檢驗、其中B組與C組P值0.05，不具有統(tǒng)計學意義，無顯著性差異，認為雙J管置于酸性尿與堿性尿中重量無顯著差異。A組與B組、A組與C組P值均0.05，具有統(tǒng)計學意義，認為相同時間置于尿液中的雙J管重量比置于純凈水中雙J管要重。 5.分析臨床觀察中所收集的雙J管進行不同組間D-J管彈性有無差異。即病人體內(nèi)置管時間與雙J管彈性有無關(guān)系。對D、E、F三組進行方差分析兩兩比較LSD-t檢驗，D組與E組P0.05不具有統(tǒng)計學意義。D組與F組，E組與F組P0.05具有統(tǒng)計學意義，可認為雙J管在患者體內(nèi)超過60天，其彈性可能會變差。 6.分析臨床觀察中不同組間雙J管重量有無差異。對D、E、F三組進行方差分析兩兩比較LSD-t檢驗，D組與E組P0.05不具有統(tǒng)計學意義。D組與F組，E組與F組P0.05具有統(tǒng)計學意義，可認為雙J管在患者體內(nèi)時間超過60天，其重量明顯變重，發(fā)生尿垢附著越明顯。 【結(jié)論】 1.雙J管置于蒸餾水中，120天內(nèi)其彈性及重量變化未見明顯改變。 2.浸泡時間相同時，，雙J管分別置于酸性尿液（PH=6.5）及堿性尿液(PH=7.5)中彈性及重量無明顯差異。 3.臨床中短期留置雙J管（30天）不會對其彈性及重量產(chǎn)生影響，反之長期留置（60天）其彈性可能會越差，自身重量越重。
[Abstract]:[Objective]
In vitro experiments and clinical studies of double J tube elasticity, we further guide the rational application of double J tube in clinical practice, thus reducing the incidence of complications of double J tube.
[method]
1, in vitro experiments: the same batch of double J tubes and 60 roots were soaked in distilled water respectively: group A (group B); acidic urine group: (group B); alkaline urine group: (group C). Soaked for 15 days, 30 days, 60 days, 120 days later, the double J tube was taken out to measure its elasticity and weight.
2. Clinical observation: from December 2012 to December 2013 in the Department of Urology of Chenzhou First People's Hospital after surgery of 100 cases of patients with indwelling double J tube. According to the retention time of packet: 15~29 days: D group (group D, 42 cases); 30~59 days: E group (group E, 48 cases); at least 60 days: F group (group F 10 cases). Pull out the double J tube after the drain and weighed. Then the double J tube hanging in the self made elastic measuring rack, measuring stretch (elastic).
[results]
1. analysis of the in vitro experiments within the same group of double J tube in different time after the same pulling direction without the elastic differences. For A, B, 22 t test respectively. In C group, the distilled water group (group A) in P was 0.05, was not statistically significant in acidic urine group. (group B) and alkaline urine group (C group), soaking time 30 days of group P were 0.05, not statistically significant; soaking time of 60 days group P value was 0.05, that of double J in the same group with the same type of pipe within a short period of time (30 days) the elastic had no obvious change long time, indwelling double J tube (60 days) the elasticity is poor.
2. analysis of the in vitro experiments within the same group of double J tube in different time after there is no weight difference. For A, B, 22 t test respectively. C in the three groups, the distilled water group (group A) in P was 0.05, was not statistically significant. In acidic urine group (B group) with alkaline urine group (C group), soaking time 30 days of group P were 0.05 was not statistically significant; soaking time of 60 days group P value was 0.05, that of double J in the same group with the same type in the long tube of its weight is short of double J tube to heavy weight.
3. in vitro analysis between different groups of the same type of double J tube elasticity has no difference. That is double J tube under different liquid elasticity. No difference of A, B, C of three groups were analyzed by analysis of variance 22 comparison of LSD-t test, the B group and C group, the P value is 0.05, not statistically significant, no significant difference, that double J tube in acidic urine and alkaline urine elastic no significant difference between.A group and B group, A group and C group, P value was 0.05, with statistical significance, the same time that the double J tubes were placed in the urine and distilled water, the former elastic worse than the latter.
4. in vitro analysis between different groups of the same type of double J tube weight changes. No difference of A, B, C of three groups were analyzed by analysis of variance 22 comparison of LSD-t test, the B group and C group, the P value is 0.05, not statistically significant, no significant difference, that double J tube weight in acidic urine and alkaline urine no significant difference between.A group and B group, A group and C group, P value was 0.05, with statistical significance, the same time that the double J placed in the urine tube weight to be heavier than in pure water and double J tube.
Double J collected 5. clinical observation and analysis of the tube of D-J among different groups have no difference. The elastic tube body disease time of the tube and double tube elastic J has no relationship. For D, E, F of three groups were analyzed by analysis of variance 22 comparison of LSD-t test, D group and E group P0.05 was not statistically significant.D group and F group, E group and F group P0.05 has statistical significance, can think of double J tube in patients more than 60 days, the elasticity may deteriorate.
6. clinical observation and analysis in different groups of double J tube weight. No difference of D, E, F of three groups were analyzed by analysis of variance 22 comparison of LSD-t test, D group and E group P0.05 was not statistically significant in.D group and F group, E group and F group P0.05 has statistical significance, can be considered in double J tube time in patients with more than 60 days, the weight was heavier, urinary scale attached more obvious.
[Conclusion]
1. double J tubes were placed in distilled water, and the change of their elasticity and weight did not change in 120 days.
2. the elasticity and weight of the double J tube were not significantly different in the acid urine (PH=6.5) and the alkaline urine (PH=7.5) when the soaking time was the same.
3. in clinical short term, double J tube (30 days) will not affect its elasticity and weight. On the contrary, the longer the long-term retention (60 days), the more its elasticity may be worse, the heavier the weight of its own.

【學位授予單位】：南華大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R699

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