间歇性导尿术对脊髓损伤患者尿路感染的疗效评价  

Effect of intermittent catheterization on the urinary tract Infection in patients with spinal cord injury.

作　　者：李晓强[1] 高伟兴[2] 李峰[1] 付桂茹[1] 李素香[1] 

机构地区：[1]华北煤炭医学院附属医院泌尿外科,唐山063000 [2]华北煤炭医学院附属医院骨科,唐山063000

出　　处：《中国综合临床》2010年第2期195-197,共3页Clinical Medicine of China

摘　　要：目的评价间歇性导尿术在治疗脊髓损伤患者尿路感染中的作用。方法将60例脊髓损伤并发尿路感染患者随机分成2组，治疗组（32例）采用敏感抗生素加用间歇性导尿术治疗，对照组（28例）单纯使用敏感抗生素治疗。疗程均为2周。结果治疗组和对照组痊愈率分别为56％与29％，总有效率分别为91％与64％，细菌清除率分别为81％与57％，差异均有统计学意义（P均〈0．05）。结论间歇性导尿术能够提高抗生素治疗脊髓损伤患者并发尿路感染的疗效，对各种神经原性膀胱引起的尿路感染治疗也具有重要意义。Objective To access the effect of intermittent catheterization （IC） on the urinary tract infection in patients with spinal cord injury. Methods Sixty patients of spinal cord injury combined with urinary tract infection were randomly divided into two groups： treatment group （32 patients） treated with sensitive antibiotics and IC; control group （28 patients） treated with sensitive antibiotics only. Both groups were treated for two weeks. Results In the treatment and control group ,the cure rate was 56% and 29% , respectively, the total effective rate was 91% and 64% in the treatment and control group,respectively,the clearance rate of bacteria was 81% and 57% ,respectively. All differences were significant （ P 〈 0.05 ）. Conclusions IC can improve the effect of antibiotic on urinary tract infection in patients with spinal cord injury, and might be effective on the treatment of urinary tract infection caused by various neurogenic bladders.

关 键 词：间歇性导尿术 尿路感染 脊髓损伤 残余尿量 

分 类 号：R473.6[医药卫生—护理学]