间歇性清洁导尿在神经源性膀胱功能障碍患者中的应用

Clean intermittent catheterization in patients with neurogenic bladder dysfunction

目的:探讨神经源性膀胱功能障碍患者留置尿管和间歇性清洁导尿两种导尿方法的感染和恢复情况。方法:60例神经源性膀胱功能障碍损伤患者随机分为观察组30例和对照组30例,观察组采用间歇性清洁导尿术,对照组采用留置尿管法。在给予规律饮水计划的情况下比较两组患者第2周和第4周的泌尿系统感染率、膀胱容量、膀胱残余尿量以及最后漏尿发生率。结果:观察组留置尿管期间第2周和第4周的感染率均低于对照组;观察组患者的膀胱残余尿量、间歇导尿次数少于对照组,差异均有统计学意义(P<0.05)。结论:在神经源性膀胱功能障碍患者在实施间歇性清洁导尿后,感染率下降,膀胱容量增加,膀胱残余尿量减少,有利于患者膀胱功能恢复。

Objective： To compare the infection and recovery of urethral and clean intermittent catheterization in patients with neurogenic bladder dysfunction. Methods ： We randomly assigned 60 patients with neurogenic bladder dysfunction to receive intermittent clean catheterization （ observation group, n = 30 ） or urethral catheterization （ control group, n = 30）, The rates of urinary tract infection, bladder capacity, bladder residual urine and final leakage at weeks 2 and 4 were compared, when regular volume of drinking was allowed. Results： A lower rate of infection, reduced residual urine and the numbers of intermittent catheterization was noted in observation group at weeks 2 and 4 （ all P 〈 0.05 ）. Conclusion ： Clean intermittent catheterization results in reduced rate of infection and bladder residual urine and increased bladder capacity leading to favorable recovery in patients with neurogenic bladder dysfunction.