早期行间歇导尿在神经源性膀胱的临床效果观察  

作　　者：陈俊彦[1,2] 鲍勇 龚珍[1] 孙远丰 

机构地区：[1]上海交通大学医学院附属瑞金医院卢湾分院康复医学科,上海200020 [2]上海市瑞金康复医院康复医学科,上海200023

出　　处：《中国药业》2017年第A02期113-115,共3页China Pharmaceuticals

基　　金：上海市黄浦区卫生项目科研课题[HKW201432]。

摘　　要：目的探讨神经源性膀胱早期行间歇导尿对患者排尿功能的效果影响及护理。方法选择2015年1月至10月医院收治的神经源性膀胱功能障碍患者22例,随机分为试验组和对照组。试验组采用早期行间歇导尿治疗及护理,对照组使用留置导尿的治疗及护理。结果两组患者在导尿管留置时间、泌尿系感染发生率、尿道黏膜损伤及实验室检查指标等均有显著改善,且试验组优于对照组(P<0.05)。结论在神经源性膀胱患者早期行间歇导尿后可减少患者泌尿系感染发生率,且引起尿道黏膜损伤程度较轻,患者主诉疼痛感也较少,值得推广。Objective To investigate the effect of early intermittent catheterization of neurogenic bladder on the function of urination and its nursing.Methods From January to October in 2015 in the Department of Rehabilitation Medicine in our hospital,22 patients with neurogenic bladder dysfunction were randomly divided into experimental group and control group,the experimental group used early intermittent catheterization treatment and nursing,the control group used the treatment and nursing of indwelling catheterization.Results The data of the time of IUC,the incidence of urinary infection and the degree of urinary mucosa and inderes of laboratory examination were significantly improved,and the experimental group was better(P<0.05).Conclusion The incidence of urinary tract infection in patients with neurogenic bladder after early intermittent catheterization was significantly lower,and the degree of urethral mucosa damage was relatively mild,and patients complained of less pain,which is worthy of promotion.

关 键 词：神经源性膀胱 早期 间歇导尿 

分 类 号：R472[医药卫生—护理学]