脊髓损伤后导尿管留置时间对膀胱功能的影响  

Impact of indwelling catheter term on the bladder function in patients with spinal cord injury(SCI)

作　　者：郑红云[1] 赵超男[1] 夏艳萍[1] 张晓光[1] 孟丽君[1] 李国新[1] 陈静[1] 邓新华[1] 

机构地区：[1]中国康复研究中心北京博爱医院脊柱脊髓外科,北京市100068

出　　处：《中国脊柱脊髓杂志》2006年第6期433-434,共2页Chinese Journal of Spine and Spinal Cord

摘　　要：目的:探讨脊髓损伤后导尿管留置时间对患者膀胱功能的影响。方法:对70例脊髓损伤患者进行3个月的无菌间歇导尿,观察与比较导尿管留置时间不同患者膀胱容量的改变与泌尿系感染率。结果:脊髓损伤后导尿管留置时间大于4周的患者,其泌尿系感染率为95%,膀胱容量平均为295±73ml;导尿管留置不足4周患者的泌尿系感染率为35%,膀胱容量平均为455±103ml。两组间有显著性差异(P<0.05)。结论:脊髓损伤后,应尽可能早期拔除导尿管,进行间歇导尿,有利于患者膀胱功能的恢复及减少泌尿系感染的发生率。Objective：To evaluate the impact of indwelling catheter term on the bladder function in patients with spinal cord injury （SCI）.nethod：The bladder capacity and the urinary tract infection （UTI） rate in 70 patients with different indwelling catheter term after SCI were retrospectively reviewed for 3 months.Result：After spinal cord injury,in the patients with indwelling catheter term more than 4 weeks （28 days）,the rate of UTI was 97%,the average bladder volumn was 295±73ml;in the patients with indwelling catheter term less than 4 weeks,the rate of UTI was 35%,the average bladder volumn was 455±103ml.Conclusion：After SCI,the catheter should be discharged as soon as possible,intermittent catheterization will advance the recovery of the bladder function as well as reduce the rate of UTI.

关 键 词：脊髓损伤 留置导尿管 间歇导尿 

分 类 号：R683.2[医药卫生—骨科学] R694[医药卫生—外科学]