摘要
目的分析脊髓损伤患者间歇导尿对膀胱功能受损后感染预防控制效果。方法将84例脊髓损伤患者根据随机数字表法随机分两组,分别为留置导尿组42例、间歇导尿组42例。留置导尿组单纯进行留置导尿管,间歇导尿组给予间歇导尿。比较两组膀胱功能康复效果;残余尿量、自主排尿量、恢复自主排尿时间;患者泌尿系感染率;治疗前后患者生存质量的差异。结果间歇导尿组膀胱功能康复效果高于留置导尿组,差异有统计学意义(P<0.05);间歇导尿组残余尿量、自主排尿量、恢复自主排尿时间优于留置导尿组(P<0.05);间歇导尿组泌尿系感染率低于留置导尿组,差异有统计学意义(P<0.05)。治疗前两组患者生存质量中各项不同指标比较差异无统计学意义;间歇导尿组患者治疗后生存质量中各项不同指标均优于留置导尿组,差异有统计学意义(P<0.05)。结论脊髓损伤患者间歇导尿对膀胱功能受损后感染预防控制效果确切,可快速恢复自主排尿功能,减少残余尿量,降低泌尿系感染率,促进患者生存质量的提高,值得推广。
Objective To analyze the preventive and control effects of intermittent catheterization on infection in patients with spinal cord injury.Methods Eighty-four patients with spinal cord injury were randomly divided into two groups according to the random number table method:42 cases of catheterization and 42 cases of intermittent catheterization.Indwelling catheterization group simply indwelling catheter,intermittent catheterization group to give intermittent catheterization.Residual urine volume,spontaneous urination volume,spontaneous urination time,urinary tract infection rate,and quality of life before and after treatment were compared between the two groups.Results The effect of bladder function rehabilitation in intermittent catheterization group was higher than that of indwelling catheterization group(P<0.05).The residual urine volume,spontaneous urination volume and the time of spontaneous urination in intermittent catheterization group were better than those in indwelling catheterization group(P<0.05);intermittent catheterization urinary tract infection rate was lower than indwelling catheterization group,the difference was statistically significant(P<0.05).There were no significant differences in the quality of life between the two groups before treatment.The different indexes of quality of life in patients with intermittent catheterization were better than that of indwelling catheterization group,the difference was statistically significant(P<0.05).Conclusion Intermittent catheterization is effective in prevention and control of infection after intermittent catheterization in patients with spinal cord injury.It can quickly restore the function of independent urination,reduce the residual urine volume,reduce the infection rate of urinary system,and promote the quality of life of patients.
作者
钟萍
刘志红
黄海燕
钟桃英
Zhong Ping;Liu Zhihong;Huang Haiyan;Zhong Taoying(Department of Rehabilitation Medicine,Ganzhou People's Hospital,Ganzhou,Jiangxi,341000,China;Ganzhou Nankang District Dongshan Zhong Yi Department of orthopedics hospital,Ganzhou,Jiangxi,341000,China)
出处
《当代医学》
2018年第13期51-54,共4页
Contemporary Medicine
关键词
脊髓损伤患者
间歇导尿
膀胱功能受损
感染
预防控制效果
Spinal cord injury patients
Intermittent catheterization
Bladder dysfunction
Infection
Prevention and control effect
