脊髓损伤患者间歇性导尿预防泌尿系统感染的效果分析  

Effect of intermittent catheterization for prevention of urinary tract infections in patients with spinal cord injury

作　　者：杜小芳[1] 王芳[2] 王延荣[1] 齐鹏[1] 唐福爱[1] 崔福玲[1] 

机构地区：[1]滨州市人民医院康复医学科,山东滨州256610 [2]滨州市人民医院血液透析室,山东滨州256610

出　　处：《中华医院感染学杂志》2016年第5期1108-1110,共3页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金资助项目(30900682)

摘　　要：目的研究脊髓损伤患者间歇性导尿对膀胱功能损坏后感染预防控制效果。方法选择2012年1月-2015年1月医院进行治疗的脊髓受损的98例患者,将其随机分为干预组及对照组,每组各49例;干预组患者采用间歇性导尿方式,对照组患者采用留置导尿法,调查分析两组患者残余尿量、细菌计数、泌尿系统感染率及7、14d患者尿液白细胞计数;应用SPSS 19.0软件进行统计分析。结果患者泌尿系感染率干预组为24.5%、对照组为77.6%,两组感染率比较,差异有统计学意义(P<0.05);患者实施不同导尿方式15、30d后,干预组患者尿液检出细菌数均明显低对照组,差异有统计学意义(P<0.05);两组患者治疗7d后,干预组尿液白细胞(+)为11例;留置导尿组为33例,两组差异有统计学意义性(P<0.05);治疗14d后,干预组白细胞(+)为14例;对照组为40例,干预组和对照组比较差异有统计学意义(P<0.05)。结论脊髓损伤患者采用间歇性导尿,对病情有更好的控制作用,降低患者泌尿系统感染率,能有效地减少残余尿量。OBJECTIVE To investigate the effect of intermittent catheterization for prevention and control of infections after bladder function damage in patients with spinal cord injury.METHODS Totally 98 patients with spinal cord-related injury in our hospital from Jan.2012 to Jan.2015 were selected and were randomly divided into the intermittent catheterization group（intervention group）of 49 cases and the indwelling catheter group（control group）of 49 cases.The intermittent catheterization was used in the intervention group and the method of indwelling urethral catheterization was adopted in the control group.The residual urine volume,the bacteria counting and the urinary tract infection rate as well as the urinary white blood cell count at 7dand 14 dwere investigated and analyzed.The software SPSS 19.0 was used for statistical analysis RESULTS The urinary infection rate was24.5%in the intervention group and 77.6%in the control group,with significance（P〈0.05）.The urinary bacterial count was significantly lower in the intervention group than in the control group at 15 dand 30dafter different catheterizations（P〈0.05）.There were 11 cases of white blood cells（＋）in the intervention group and 33 such cases in the control group after treatment for 7d,with significance after removal of catheter（P〈0.05）.There were 14 cases of white blood cells（＋）in the intervention group and 40 such cases in the control group after treatment for 14 d,with significance（P〈0.05）.CONCLUSION.Intermittent catheterization in patients with spinal cord injury has better control effect on the disease,reduces the infection rate of patients and can effectively reduce the residual urine volume.

关 键 词：间歇性导尿 脊髓损伤 泌尿系统 感染 

分 类 号：R681[医药卫生—骨科学]