便携式膀胱扫描仪结合间歇性导尿术在脑卒中合并神经源性膀胱患者中的应用  

Portable bladder scanner combined with intermittent catheterization in patients with stroke and neurogenic bladder

作　　者：叶育英 丘鸿凯[1] 范思思 Ye Yuying;Qiu Hongkai;Fan Sisi(Department of Internal Medicine,Zhongshan Boai Hospital,Zhongshan 528400,China)

机构地区：[1]中山市博爱医院内一科,中山528400

出　　处：《现代仪器与医疗》2022年第2期85-87,96,共4页Modern Instruments & Medical Treatment

基　　金：中山市医学科研项目,项目名称:便携式膀胱扫描仪结合间歇性导尿术在脑卒中合并神经源性膀胱患者中的应用效果观察,项目编号:2021J262。

摘　　要：目的探究在脑卒中合并神经源性膀胱患者采用便携式膀胱扫描仪结合间歇性导尿术的应用效果,并对其进行分析与探讨.方法选取2020年5月~2021年4月就诊的60例脑卒中合并神经源性膀胱患者作为研究对象.通过随机抽样法分为对照组(n=30)和研究组(n=30).对照组采用间歇性导尿配合饮水计划的膀胱管理方法,研究组在对照组基础上结合便携式膀胱扫描仪.对比干预前和干预4周后两组患者的膀胱容量的差异、膀胱残余尿量的差异以及尿路感染发生率.结果在干预实施前,两组患者的膀胱容量、膀胱残余尿量、尿路感染发生率差异无统计学意义(P>0.05);干预4周后,研究组膀胱容量高于对照组(P<0.05),膀胱残余尿量低于对照组(P<0.05);尿路感染发生率低于对照组(P<0.05).结论在脑卒中合并神经源性膀胱患者中采用便携式膀胱扫描仪结合间歇性导尿术可提高患者的膀胱容量,降低膀胱残余尿量以及减少尿路感染的发生.Objective To investigate the effect of using portable bladder scanner combined with intermittent catheterization inpatients with stroke and neurogenic bladder.Methods Sixty patients with stroke combined with neurogenic bladder who were seen from May 2020 to April 2021 were selected as the study subjects.They were divided into control group(n=30)and study group(n=30)by random sampling method.The control group used intermittent catheterization with a drinking schedule for bladder management,and the study group combined a portable bladder scanner on top of the control group.The difference in bladder volume,the difference in residual bladder urine volume,and the incidence of urinary tract infection between the two groups before and after 4 weeks of intervention were compared.Results Before the intervention,the differences in bladder volume,bladder residual urine volume,and incidence of urinary tract infection between the two groups were not statistically significant(P>0.05);after 4 weeks of intervention,the bladder volume in the study group was higher than that in the control group(P<0.05),and the bladder residual urine volume was lower than that in the control group(P<0.05);the incidence of urinary tract infection was lower than that in the control group(P<0.05).Conclusion The use of portable bladder scanner combined with intermittent catheterization in patients with stroke and neurogenic bladder can improve bladder capacity,reduce bladder residual urine volume as well as reduce the incidence of urinary tract infection.

关 键 词：便携式膀胱扫描仪 脑卒中 神经源性膀胱 间歇性导尿术 

分 类 号：R197.39[医药卫生—卫生事业管理]