【摘要】 目的通过联合使用亲水涂层导尿管和膀胱容量测量仪改良清洁间歇导尿护理方法,观察对降低间歇导尿的并发症的临床效果。方法将入院治疗的100例脊髓损伤致神经源性膀胱患者以随机数字表法分为观察组和对照组,每组50例。观察组常规操作基础之上,使用改良清洁间歇导尿护理方法,由护士使用膀胱容量测量仪测量膀胱尿量并根据测量结果确定间歇导尿时间,最后由患者/家属使用亲水涂层导尿管进行导尿。对照组采用按需导尿方法即每4～6小时导尿1次,导尿前护士使用碘伏棉球进行会阴部尿道口消毒,待干后再进行无菌导尿操作。比较2组患者的2周导尿次数、单次导尿量、尿路并发症发生率。结果观察组单次导尿量300～500 ml,次数为4 141次,对照组为2 615次,差异有统计学意义(P<0.05);观察组尿路感染发生率为3.3%,远低于对照组16.0%,差异有统计学意义(P<0.05)。结论改良清洁间歇导尿护理方法使得导尿时机合理化,增加患者的满意度,降低尿路感染发生率。更多还原

【Abstract】 Objective To investigate the clinical effects of improved clean intermittent catheterization in prevention of urinary tract infection,and to observed its effects in reducing the complications due to intermittent urethral catheterication.Methods A total of 100 patients with spinal cord injury were divided into observation group(n=50) and control group(n=50).The patients in observation group were treated by improved clean intermittent catheterization. The bladder urine volume and intermittent catheterization time were measured.Finally,the patient/family members used a hydrophilic coated catheter to conduct catheterization.The patients in control group were treated by routine urine catheterization method at an interval of 4～6 hours.The frequency of 2 weeks catheterization,single urethral catheterication volume and the incidence rate of urinary tract complications were observed and compared between the two groups.Results The frequency of single urethral catheterication volume at 300 ml～500 ml in observation group reached 4141 times,which in control group was 2615 times, there was a significant difference between the two groups(P<0.05). The incidence of urinary tract infection in observation group was 3.3%,which was significantly lower than that(16.0%) in control group(P<0.05).Conclusion The improved clean intermittent catheterization can rationalize the opportunity of urethral catheterication,increase the satisfaction degree of patients and reduce the incidence rate of urinary tract infection.更多还原