改良膀胱冲洗技术预防清洁间歇导尿患者尿路感染的临床效果

Effect of Innovative Bladder Irrigation Method on Prevention of Urinary Tract Infection in Neurogenic Bladder Patients with Clean Intermittent Catheterization

目的观察改良膀胱冲洗技术预防脊髓损伤后神经源性膀胱清洁间歇导尿患者尿路感染的临床效果。方法将40例脊髓损伤后神经源性膀胱清洁间歇导尿患者分为观察组(n=20)和对照组(n=20)。观察组采用生理盐水500 ml改良膀胱冲洗,隔天1次;对照组采用生理盐水500 ml传统膀胱冲洗,每天1次。结果治疗后4周和6周,观察组尿路感染率低于对照组(P<0.05)。结论改良膀胱冲洗技术可降低脊髓损伤后神经源性膀胱清洁间歇导尿患者尿路感染率。

Objective To explore the clinical effect of innovative bladder irrigation on prevention of urinary tract infection in neurogenic bladder patients with clean intermittent catheterization after spinal cord injury（SCI）.Methods 40 neurogenic bladder patients with clean intermittent catheterization after SCI were divided into observation group（n=20） and control group（n=20）.The observation group received innovative bladder irrigation with normal saline6 weeks after treatment,the incidence of urinary tr 500 ml every other day,and the control group received normal bladder irrigation with normal saline 500 ml every day.Results 4 weeks and act infection was lower in the observation group than in the control group（P〈0.05）.Conclusion The innovative bladder irrigation method can decrease the rate of urinary tract infection in neurogenic bladder patients with clean intermittent catheterization after SCI.