自我清洁间歇导尿在神经源性膀胱患者中的应用价值  

Application value of self-cleaning intermittent catheterization in patients with neurogenic bladder

作　　者：王洁琼 Wang Jieqiong(Department of Urology,Guangzhou First Peoples Hospital,Guangzhou 510000,China)

机构地区：[1]广州市第一人民医院泌尿外科,510000

出　　处：《国际泌尿系统杂志》2020年第5期829-833,共5页International Journal of Urology and Nephrology

摘　　要：目的探讨自我清洁间歇导尿在神经源性膀胱患者中的应用价值。方法选择2017年4月至2018年4月在本院泌尿外科就诊的神经源性膀胱患者120例,按照导尿方式不同分为膀胱穿刺造瘘组、留置导尿组及自我清洁间歇导尿组,每组40例。对三组患者尿路感染、膀胱容量、残余尿量、自主排尿量及生活自理能力进行对比分析。结果治疗2、4和6周后,膀胱穿刺造瘘组及留置导尿组的尿道感染发生率、膀胱容量、自主排尿量均高于自我清洁间歇导尿组(P<0.05),膀胱穿刺造瘘组及留置导尿组的残余尿量低于自我清洁间歇导尿组(P<0.05);治疗6周后,自我清洁间歇导尿组生活自理能力显著高于膀胱穿刺造瘘组及留置导尿组(P<0.05)。结论自我清洁间歇导尿可降低患者尿路感染发生率,改善患者膀胱容量、残余尿量及自主排尿量,提高患者的日常生活能力,值得临床推荐。Objective To explore the application value of self-cleaning.intermittent catheterization in patients with neurogenic bladder.Methods From April 2017 to April 2018,120 cases of neurogenic bladder patients in our hospital were selected.They were divided into bladder puncture and fistula group,indwelling catheterization group and self-cleaning intermittent catheterization group according to different ways of catheterization,all of which were 40 cases.The urinary tract infection,bladder capacity,residual urine volume,Autonomous Urination volume and selfare ability of the three groups were compared and analyzed.Results After 2,4,and 6 weeks of treatment,the incidence of urinary tract infection,bladder capacity,and voluntary urination were higher in the bladder puncture fistula group and indwelling catheterization group than in the self-cleaning intermittent catheterization group,while the bladder puncture fistula group and indwelling catheterization the residual urine volume of the urine group was lower than that of the selfcleaning intermittent catheterization group.After 6 weeks of treatment,the self-care ability of the self-cleaning intermittent catheterization group was significantly higher than that of the bladder puncture fistula group and the indwelling catheterization group(P<0.05).Conclusions Selfleaning intermittent catheterization can reduce the incidence of urinary tract infection,improve bladder capacity,residual urine volume and Autonomous Urination volume,and improve patients daily living ability,which is worthy of clinical recommendation.

关 键 词：膀胱 神经原性 导尿管插入术 膀胱造口术 排尿 

分 类 号：R473.6[医药卫生—护理学]