脊髓损伤后行无菌间歇性导尿术防治尿路感染的随机对照的疗效分析

Analysis of the Efficacy of Randomized Controlled Trials of Aseptic Intermittent Catheterization for Prevention and Treatment of Urinary Tract Infection after Spinal Cord Injury

目的分析脊髓损伤后行无菌间歇性导尿术防治尿路感染的效果。方法选取该院收治的80例脊髓损伤患者作为该次的研究对象,病例数选取时间为2017年6月—2018年9月,应用计算机进行随机分组,一组给与膀胱冲洗治疗,为对照组,一组给与无菌间歇性导尿术,为观察组,对比两组患者的治疗效果。结果观察组患者术后15 d尿路感染的发生率为25.0%(10例),与对照组比较差异无统计学意义(χ^2=0.251,P>0.05);观察组患者术后30 d尿路感染的发生率为32.5%(13例),与对照组的62.5%(25例)比较差异有统计学意义(χ^2=7.218 0,P<0.05);观察组患者的治疗满意度为87.5%(35例),低于对照组的65.0%(26例),数据差异有统计学意义(χ^2=5.591,P<0.05)。结论脊髓损伤后行无菌间歇性导尿术可有效防止尿路感染的发生,降低尿路感染的发生风险,并可提高患者的治疗满意度,建议在临床中推广使用。

Objective To analyze the effect of aseptic intermittent catheterization on urinary tract infection after spinal cord injury. Methods Eighty patients with spinal cord injury admitted to our hospital were selected as the subjects of this study. The number of cases was selected from June 2017 to September 2018. The patients were randomly divided into groups and given a bladder irrigation treatment, a group of sterile intermittent catheterization, for the observation group, compared the treatment effect of the two groups of patients. Results The incidence of urinary tract infection was 25.0%(10 cases) in the observation group at 15 days after operation. There was no significant difference between the observation group and the control group(χ^2=0.251,P>0.05). The observation group had urinary tract infection 30 days after operation of incidence was 32.5%(13 cases), which was statistically significant compared with 62.5%(25 cases) of the control group (χ^2=7.218,P<0.05). The treatment satisfaction of the observation group was 87.5%(35 cases). Compared with 65.0% of the control group (26 cases), the difference was statistically significant (χ^2=5.591,P<0.05). Conclusion Sterile intermittent catheterization after spinal cord injury can effectively prevent the occurrence of urinary tract infection, reduce the risk of urinary tract infection, and improve the patient's treatment satisfaction. It is recommended to promote it in clinical practice.