颈段脊髓损伤患者排尿方式的调查  

Research of urinary patterns in patients with cervical spinal cord injury

作　　者：赵蕊 马燕兰[2] 石秀秀[3] 王自强[3] 唐金树[3] 

机构地区：[1]解放军医学院,北京100853 [2]解放军总医院第一附属医院护理部,北京100048 [3]解放军总医院第一附属医院骨科,北京100048

出　　处：《中华现代护理杂志》2017年第17期2222-2225,共4页Chinese Journal of Modern Nursing

摘　　要：目的 调查不同病程、不同损伤程度颈段脊髓损伤患者的排尿方式.方法 采用目的抽样的方法,选取解放军总医院第一附属医院2014年1月—2016年10月收治的颈段脊髓损伤患者为调查对象.查阅49例患者的病例资料,记录患者的一般情况,并对其中5例住院患者进行面对面询问,其余44例患者进行电话随访,记录排尿方式以及变换排尿方式的时间.结果 留置尿管为各时间段的主要排尿方式,占31.0%-61.2%;不同损伤程度患者排尿方式不同,完全性颈段脊髓损伤患者最主要的排尿方式为留置尿管,占42.9%,14.3%的患者可以自行排尿,不完全性损伤患者最主要的排尿方式为自行排尿,占34.6%,26.9%的患者留置导尿.结论 损伤病程、损伤程度影响排尿方式,颈段脊髓损伤患者应选择个体化的排尿方式,以改善膀胱功能,恢复自主排尿,尽可能提高其生活质量,回归社会.Objective To investigate the urinary patterns in cervical spinal cord injury patients with different courses and degrees of injury.Methods A total of 49 patients with cervical spinal cord injury in the First Affiliated Hospital of PLA General Hospital from January 2014 to October 2016 were enrolled in this study using purposive sampling. Medical data and normal information of patients were recorded. A number of 5 hospitalized patients were interviewed face-to-face, while 44 patients were interviewed by telephone to record the urinary patterns and time of changing urination pattern.Results Indwelling catheter was the main urinary pattern and accounted for 31.0%-61.2% of patients. Patients with different injury degrees had different urinary patterns. Indwelling was the main urinary pattern of patients with complete cervical spinal cord injury and accounted for 42.9%; 14.3% of patients with complete cervical spinal cord injury could urinate by themselves. The main urinary pattern of patients with incomplete injury was self-urination, which accounted for 34.6%; there were 26.9% of these patients with indwelling catheterization.Conclusions The course and degree of injury affect the urinary pattern. Patients with cervical spinal cord injury should have individual urinary patterns to improve their bladder function and restore spontaneous urination so as to improve their quality of life to return to society.

关 键 词：脊髓损伤 颈段 排尿方式 

分 类 号：R473.6[医药卫生—护理学]