不同方法清洁尿道口对脊髓损伤反射性膀胱功能障碍留置尿管患者的影响  

The effect of cleaning urethral orifice using different methods on reflective bladder dysfunction patients after spinal cord injury with indwelling urinary catheters

作　　者：郑醒云[1] 简翠芬[1] 刘金莉[1] 罗雪珠 

机构地区：[1]深圳市龙岗中心医院神经外科,广东深圳518116

出　　处：《中国临床护理》2016年第4期301-303,共3页Chinese Clinical Nursing

摘　　要：目的探讨不同方法清洗尿道口对脊髓损伤反射性膀胱功能障碍留置尿管患者的影响。方法将92例脊髓损伤反射性膀胱功能障碍留置尿管患者随机分为对照组和观察组各46例。对照组采用0.5%碘伏消毒尿道口,观察组采用灭菌注射用水清洗尿道口。比较2组患者菌尿、尿路感染、尿道口局部皮肤红肿及疼痛烧灼感发生率。结果 2组患者留置尿管后第3天、第7-10天和第14天的菌尿发生率和尿路感染发生率比较,差异无统计学意义。观察组患者的尿道口局部皮肤红肿和清洗时疼痛烧灼感的发生率分别为4.35%和8.70%,低于对照组的17.39%和47.83%。结论灭菌注射用水清洗尿道口并未增加尿路感染的发生率,但可降低尿道口局部皮肤红肿及疼痛烧灼感的发生率。Objective To explore the effect of cleaning urethral orifice using different methods on reflective bladder dysfunction patients after spinal cord injury（SCI）with indwelling urinary catheters.Methods Totally 92 SCI patients with indwelling urinary catheter for reflective bladder dysfunction were randomly divided into a control group（n=46）and an observation group（n=46）.The control group was washed urethral orifices using 0.5% povidine iodine,while the observation group was used sterile water for injection.The incidence of bacteriurea,urinary tract infection,skin allergy in the urethral orifice,as well as burning pain were compared between the control and observation group.Results No significant differences were observed in the incidence of bacteriurea and urinary tract infections between the two groups at 3,7to 10 and 14days after placing the urinary catheter.In the observation group,4.35% and 8.70 % patients appeared skin allergy and burning pain in the urethral orifice,significantly lower than 10.87%and 47.83% of the control group.Conclusion Compared to 0.5% povidine iodine,periurithral cleaning with sterile water for injection doesn＇t increase the urinary tract infections significantly,but lowers the occurrence of the skin allergy and burning pain feeling.

关 键 词：留置尿管 尿道口 消毒 护理 

分 类 号：R473.6[医药卫生—护理学]