脊髓损伤患者自家清洁导尿方法的探讨

Improved Clean Intermittent Urethral Catheterization in Patients with Spinal Cord Injury

目的探讨脊髓损伤(SCI)伴神经源性膀胱患者的最佳导尿方法。方法将60例SCI伴神经源性膀胱患者按随机数字表法分为2组,每组30例,分别实施个体化自家清洁导尿(对照组)和优化导尿程序(试验组),2组均配合膀胱训练。结果 2组患者尿路感染及插管不畅发生率差异无统计学意义(P>0.05);对照组进行(3.47±1.02)次训练、试验组进行(2.13±0.75)次训练后操作者即能熟练掌握,2组比较差异有统计学意义(P<0.05);试验组尿道出血发生率低于对照组(P<0.05)。结论优化导尿程序后的自家清洁导尿方法简单,易掌握。

Objective To evaluate a improved clean intermittent urethral catheterization in nonhospitalized spinal cord injury patients with bladder dysfunction.Methods Thirty patients with spinal cord injury were randomized to receive either improved clean intermittent urethral catheterization（experimental group） or clean intermittent urethral catheterization（control group）.Bladder training was performed in all patients.Results There were no significant differences in urinary tract infection and impassable intubation between the two groups（P〈0.05）.The techniques were mastered by training in all patients.The average number of training was（3.47±1.02） times in control group and（2.13±0.75） times in experimental group,and there were significant differences between the two groups（P〈0.05）.The incidence of urethral bleeding in experimental group was significantly lower than that in control group（P〈0.05）.Conclusion The improved clean intermittent urethral catheterization is simple and easy to master for nonhospitalized spinal cord injury patients and their family members.