《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (08): 986-989.

• 特稿 • 上一篇    下一篇

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

张建梅，蒋春燕，李娜，杜春萍   

  1. 四川大学华西医院康复医学中心，四川成都市610041。作者简介：张建梅(1982-)，女，汉族，四川泸州市人，护师，主要研究方向：脊髓损伤患者并发症的预防与护理。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-08-25 发布日期:2015-08-25

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

ZHANG Jian-mei, JIANG Chun-yan, LI Na, DU Chun-ping   

  1. Department of Rehabilitation Medicine,West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-08-25 Online:2015-08-25

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摘要： 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。

关键词: 脊髓损伤, 神经源性膀胱, 清洁间歇导尿, 尿路感染, 改良膀胱冲洗

Abstract: 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 saline 500 ml every other day, and the control group received normal bladder irrigation with normal saline 500 ml every day. Results 4 weeks and 6 weeks after treatment, the incidence of urinary tract 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.

Key words: spinal cord injury, neurogenic bladder, clean intermittent catheterization, urinary tract infection, innovative bladder irrigation