两种间歇导尿消毒法对男性脊髓损伤性功能及排尿功能障碍患者尿路感染发生率影响的对比分析  

Impact of two intermittent catheterization disinfection methods on urinary tract infection in male spinal cord injury patients with sexual and urination disorder

作　　者：滕立英[1] 申红梅[1] 王莹[1] 王沛沛[1] 李勤娥 沙可夫[1] 赵明君[1] 秦京黎 

机构地区：[1]首都医科大学附属北京康复医院肾病中心,北京100044

出　　处：《中国性科学》2015年第9期3-6,共4页Chinese Journal of Human Sexuality

基　　金：首都医学发展科研基金资助项目(2009-3176)

摘　　要：目的:通过两种间歇导尿消毒法对男性脊髓损伤性功能及排尿功能障碍患者尿路感染发生率的对比分析,为脊髓损伤间歇导尿患者寻求更有效的消毒方法。方法:将64例脊髓损伤性功能及排尿功能障碍患者随机分为无菌间歇导尿消毒法(对照组)和改良无菌间歇导尿消毒法(观察组)两组,比较两组患者实施间歇导尿术第1d、15d、30d出现尿路感染的比率。结果:62例患者完成实验,对照组2例患者实验期间发烧,改为持续留置导尿,两组患者均无无睾丸、附睾炎发生。观察组与对照组第1d尿路感染率分别是65.6%和66.7%;第15d尿路感染率分别是26%和60%;第30d尿路感染率分别是28.1%和66.7%,两组患者发生尿路感染的差异有统计学意义(P<0.05),改良无菌间歇导尿消毒法第1d和第15d、30d比较,尿路感染率均有统计学意义(P<0.05)。结论:改良无菌间歇导尿消毒法间歇导尿术应用于脊髓损伤性功能及排尿功能障碍患者,明显降低了泌尿系感染的发生率,是一种安全、有效的尿道消毒方法,值得临床推广。Objectives：To explore a more effective disinfection method for spinal cord injury patients who need intermittent catheterization,the urinary tract infection rates of the two intermittent catheterization methods for male spinal cord injury patients with sexual and urination disorder were comparatively analyzed.Methods：64 spinal cord injury patients with sexual and urination disorder were randomly assigned into two groups,the sterile intermittent catheterization disinfection group （the control group）and the improved sterile intermittent catheterization disinfection group （the observation group）.The urinary tract infection rates of the two groups at days 1,15 and 30 ere compared. Results：62 patients completed the experiment;2 patients in the control group had fever during the experiment,and were changed to continue indwelling catheterization;no testicular and epididymitis occurred in the two groups.The u-rinary tract infection rates were 65.6% and 66.7% at day 1;26% and 60% at day 15;28.1% and 66.7% at day 30 in the observation group and the control group respectively.The differences in urinary tract infection were statistically significant （P〈0.05）between the observation group and the control group;the differences in urinary tract infection were all statistically significant in the improved sterile intermittent catheterization disinfection group between days 1 and 15,or days 1 and 30（P 〈0.05）.Conclusions：Improved sterile catheterization disinfection method is applied to spinal cord injury patients with sexual and urination disorder,which can significantly reduce the incidence of urinary tract infection.Safe and effective for urethral disinfection,it is worthy of clinical promotion.

关 键 词：间歇导尿消毒法 脊髓损伤 性功能及排尿功能障碍 尿路感染 

分 类 号：R493[医药卫生—康复医学]