清洁间歇性导尿技术配合饮水计划在神经源性膀胱病人中的应用效果分析

Analysis of the Application Effect of Clean Intermittent Catheterization Combined with Drinking Water Plan in patients with Neurogenic Bladder

目的分析清洁间歇性导尿技术配合饮水计划在神经源性膀胱病人中的应用效果。方法用"随机分组法",将50例脊髓损伤神经源性膀胱患者平均分成两组,分别为对照组和观察组,每组25例患者,对照组患者采用常规留置导尿法,观察组患者采用清洁间歇性导尿技术配合饮水计划,疗程结束之后,观察两组患者的1周、3周时膀胱尿液指标,以及患者的并发症发生情况。结果在1周时,观察组患者残余尿量:(301.27±17.89)ml,自主排尿量:(339.93±26.19)ml,明显优于对照组(P<0.05);在3周时,观察组患者残余尿量:(112.93±13.38)ml,自主排尿量:(442.19±42.76)ml,明显优于对照组(P<0.05);观察组患者的并发症发生率为4.00%,明显低于对照组(P<0.05)。结论清洁间歇性导尿技术配合饮水计划在神经源性膀胱病人中的应用效果显著,能够有效改善患者的膀胱机能,并且减少患者的并发症发生概率,因此,该方法适合在临床进行推广和使用。

Objective To analyze the application effect of clean intermittent catheterization combined with drinking water in patients with neurogenic bladder.Methods 50 patients with neurogenic bladder of spinal cord injury were divided into two groups by the'random grouping method',which were control group and observation group,25 patients in each group.The control group used conventional indwelling catheterization method,the observation group were treated with clean intermittent catheterization and drinking water.After the end of the treatment,the bladder urine indexes at one week and three weeks,and the complications of the patients were observed.Results At one week,the residual urine volume of the observation group was(301.27±17.89)ml,and the spontaneous urine output was(339.93±26.19)ml,which was significantly better than the control group(P<0.05);at three weeks,the residual urine volume of the observation group was(112.93±13.38)ml,and the spontaneous urine output was(442.19±42.76)ml,which was significantly better than the control group(P<0.05);the complication rate of the observation group was 4.00%,which was significantly lower than the control group(P<0.05).Conclusion The method of clean intermittent catheterization combined with drinking water has a significant effect in patients with neurogenic bladder,which can effectively improve the bladder function of patients and reduce the probability of complications.Therefore,this method is suitable for clinical promotion and use.