神经源性膀胱患者清洁间歇导尿致尿路感染的高危因素分析  

Analysis of high-risk factors of urinary tract infections caused by clean intermittent catheterization in patients with neurogenic bladder

作　　者：焦军英 JIAO Jun-ying

机构地区：[1]山东大学齐鲁医院康复一病区,济南市250012

出　　处：《护理实践与研究》2020年第21期19-21,共3页Nursing Practice and Research

基　　金：山东省医药卫生科技发展计划项目(2016WS0349)。

摘　　要：目的探讨神经源性膀胱患者清洁间歇导尿致尿路感染的高危因素与防护策略。方法选择2018年8月至2019年8月60例行清洁间歇导尿治疗的神经源性膀胱患者为研究对象,导尿期间发生尿路感染25例。采用单因素和多因素logistic回归分析神经源性膀胱患者清洁间歇导尿致尿路感染的高危因素。结果合并低蛋白血症、合并糖尿病、每天导尿次数>4次、功能训练介入时间>2周是神经源性膀胱患者清洁间歇导尿致尿路感染的促进因素。结论神经源性膀胱患者清洁间歇导尿导致尿路感染发生率较高,与营养不良、糖尿病、导尿次数、膀胱功能训练等多种因素高度相关,应根据高危因素开展针对性预防措施,以减少尿路感染发生率。Objective To explore the high-risk factors and protection strategies for urinary tract infections caused by clean intermittent catheterization in patients with neurogenic bladder.Methods We selected 60 cases of patients with neurogenic bladder who underwent clean intermittent catheterization from August 2018 to August 2019 as the study objects.25 cases of urinary tract infection occurred during catheterization.Single factor and multivariate logistic regression were used to analyze the high-risk factors of urinary tract infection caused by clean intermittent catheterization in patients with neurogenic bladder.Results The combined hypoproteinemia,combined diabetes,the number of catheterizations per day>4 times,functional training intervention time>2 weeks were the promoting factors of urinary tract infection in patients with neurogenic bladder clean intermittent catheterization.Conclusion Patients with neurogenic bladder clean and intermittent catheterization had a higher incidence of urinary tract infections,which were highly related to various factors such as malnutrition,diabetes,catheterization frequency,bladder function training,etc.,and targeted preventive measures should be carried out based on high-risk factors to reduce the incidence of urinary tract infections.

关 键 词：神经源性膀胱 清洁间歇导尿 尿路感染 高危因素 

分 类 号：R473.74[医药卫生—护理学]