【摘要】 目的探讨间歇性导尿术和留置导尿术对脊髓损伤患者尿路感染的影响。方法对80例脊髓损伤后膀胱功能障碍出现尿潴留患者分别采用间歇导尿和留置导尿,定期尿液培养进行尿路感染率比较,采用间歇性导尿术同时进行膀胱功能训练,并分别于留置导尿、间歇性导尿后153、0 d取患者尿液进行细菌培养及鉴定。结果间歇性导尿15、30 d的尿路感染(菌落计数≥l×10 CFU/ml)发生率分别为32.6%和31.5%,明显低于留置导尿尿路感染发生率(100.0%),P<0.05;尿道细菌的种类相似,主要是大肠埃希菌、产气肠杆菌、葡萄球菌属、肺炎克雷伯菌等。结论间歇性导尿术能降低脊髓损伤患者尿路感染的发生率,控制尿路感染、维护和促进排尿功能恢复均具有重要意义,但对尿道细菌的种类影响不大。更多还原

【Abstract】 OBJECTIVE To investigate the influence of intermittent catheterization methods and indwelling catheterization methods on the urinary tract infection in patients with spinal cord injury.METHODS After eighty cases of spinal cord injury,the urine retention patients caused by bladder dysfunction were respectively used intermittent catheterization and indwelling catheterization.The urinary tract infection rates of regucally urine culture were compared.By use of intermittent catheterization,the bladder function was trained.Bacteria culture and identification of the urine from the patients were conducted after 15 or 30 days of intermittent catheterization and indwelling catheterization respectively.RESULTS The rates of urinary tract infection(colony count≥1×10 CFU/ml) after 15 or 30 days of intermittent catheterization were 32.6% and 31.5%,respectively.Which were significantly lower than those of indwelling catheterization(100%)(P<0.05).However,the detected bacteria strains were similar,mainly were Escherichia coli,Enterobacter aerogenes,Staphylococcus,Klebsiella pneumoniae and so on.CONCLUSIONS Intermittent catheterization can reduce the urinary tract infection rate in patients with spinal cord injury,control urinary tract infection,maintenance and improve urination function recovery which were all meaningful.更多还原