早期间歇导尿防止不完全性脊髓损伤患者泌尿系感染的体会  

Clinical Experience of Early Urinary Care to Prevent Urinary Tract Infection with Incomplete Spinal Cord Injury

作　　者：张霞 马兴艳 王会学[2] 

机构地区：[1]临沂市红十字会中心血站,山东临沂276000 [2]临沂市人民医院

出　　处：《中外医学研究》2014年第5期85-86,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨住院期间不完全性脊髓损伤患者进行自我排尿训练指导对泌尿系感染的影响。方法:选取笔者所在医院收治的69例不完全性脊髓损伤患者,进行自我排尿的指导和训练,训练5 d后拔除导尿管,行间断排尿训练,促进膀胱反射重建。结果:61例成功重建排尿功能,其中有21例(34.43%)发生泌尿系感染;8例未能重建排尿功能,其中发生泌尿系感染6例(75.00%)。排尿重建功能成功的患者其泌尿系感染的发生率明显低于重建失败者,差异有统计学意义(P<0.05)。结论:不完全性脊髓损伤患者,住院期间可以通过有针对性的指导练习,重获膀胱反射,明显降低泌尿系感染的发生率。Objective：To evaluate the impact of methods of self urinary management on reconstructing urinary function and urinary tract infection in patients with incomplete spinal cord injury at the time of hospitalization.Method：Selected the author’s hospital treated 69 cases of patients with incomplete spinal cord injury,self micturition of guidance and training,training of urethral catheter after 5 d,discontinuous urination training,promote the bladder reflex reconstruction.Result：61 cases of successful reconstruction micturition functions,including 21 cases of urinary tract infection;8 cases of failed to rebuild micturition function,in which 6 patients with urinary tract infection.Micturition successful reconstruction function of the urinary tract infection in patients with a significantly lower incidence of reconstruction was not successful ,the difference was statistically significant （P〈0.05）.Conclusion：The hospitalized patients in incomplete SCI should begin intermittent catheterization and reconstruct urinary reflex function as soon as possible,which will be helpful to prevent urinary tract infection.

关 键 词：不完全性脊髓损伤 泌尿系感染 间断导尿 护理 

分 类 号：R473.6[医药卫生—护理学]