脊髓损伤患者早期行间歇导尿术的临床观察

The clinical effect of early intermittent urethral catheterization in spinal cord injury patients

目的探究在脊髓损伤患者早期行间歇导尿术对患者康复的临床效果。方法选取2012年5月-2015年5月收治的180例脊髓损伤后排尿障碍的患者,随机分为对照组和观察组各90例。对照组行常规留置导尿术,观察组行间歇导尿术。4周后比较2组患者的膀胱容量、残余尿量、细菌计数以及患者满意度。结果行间歇导尿术和膀胱功能锻炼4周后,观察组患者膀胱容量大于对照组,残余尿量少于对照组,尿道口有菌率16.7%明显低于对照组的35.6%,患者满意度94.4%明显高于对照组的78.9%。结论脊髓损伤患者早期行间歇导尿术有助于增加患者的膀胱容量、减少残余尿量,维持膀胱近似生理状态,同时减少尿路感染。

Objective To explore the clinical effect of early intermittent urethral catheterization in spinal cord injury（SCI）patients.Methods Totally 180 SCI patients with voiding dysfunction admitted to our hospital between May 2012 and 2015were selected and randomly divided into an observation group and a control group,each of 90.The control group was applied routine indwelling catheterization,while the observation group was provided with intermittent urethral catheterization for 4weeks.Then the bladder capacity,residual urine,bacterial counts and patient satisfaction of the 2groups were compared.Results After the treatment,the bladder capacity and patients＇ satisfaction（94.4%）of the observation group were higher than those in the control group,but the residual volume of the former was less than the latter.In the observation group,16.7%patients found bacteria in the urethral orifice,significantly higher than that in the control group（35.6%）.Conclusions Early intermittent urethral catheterization can help SCI patients increase their bladder capacity,reduce the amount of residual urine and the infection of urinary tract.