体位改变对膀胱冲洗效果的影响

The effect of various body posture to bladder irrigation for patients

目的:探讨改变体位对膀胱冲洗效果的影响。方法:选择留置尿管患者82例,随机分为两组,试验组42例和对照组40例,对两组患者每日使用冲洗器进行膀胱冲洗,试验组膀胱冲洗过程中协助患者交替采取左侧体位、右侧卧位;对照组在膀胱冲洗时采取平卧位。分别在膀胱冲洗后7,14,28 d留取尿常规和中段尿,对实验结果进行比较,以观察膀胱冲洗的效果。结果:3次的尿常规和中段尿实验结果只在7 d和14 d具有显著性差异(P<0.01);试验组尿色较对照组浑浊,试验组未发生堵管,对照组发生堵管1例。结论:膀胱冲洗采取左右侧卧位能提高膀胱冲洗效果,降低泌尿系感染率,但随着膀胱冲洗时间的延长,泌尿系感染仍然无法避免。

Objective ：To assess the effect of various body posture to bladder irrigation. Methods ： 82 patients with indwelling catheterization were divided into two groups. 42 patients constituted the experimental group and 40 patients constituted the control group. All the patients received bladder washing everyday. Patients in experimental group were in left - lateral position and right - lateral position alternatively during bladder washing, and patients in control group were in recumbent position. Urine routine test and urine culture test results before bladder washing and 7 days, 14 days, 28days after bladder washing were compared. Results： 3 times of urine routine test and urine culture results of 7 days and 14days after bladder washing were different between the two groups （ P 〈 0.01 ）. Urine of experimental group was more clouding than that of control group. Urinary canals of experimental groups did not obstructed. 1 patient＇s urinary canal was obstrructed in control group. Conclusion ： Making patients in left - or right - lateral position during bladder washing can improve the effect, decrease the infection rate of urine system. But if the time of indwelling catheterization is long, urine system infection can＇t be prevent by bladder washing.