膀胱刺激法在晚期新生儿留尿中的应用  被引量:1

The application of bladder stimulation technique in clean-catch urine collection of late newborns

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作  者:黄迪 李敏[1] 苏敏[1] 王乐瑶 施鸿珊 张崇巽 孙中怡 赵丹丹 杨波 高翔羽[1] Huang Di;Li Min;Su Min;Wang Leyao;Shi Hongshan;Zhang Chongxun;Sun Zhongyi;Zhao Dandan;Yang Bo;Gao Xiangyu(Department of Neonatology,Xuzhou Central Hospital(the Xuzhou Clinical College of Xuzhou Medical University),Xuzhou 221009,China)

机构地区:[1]徐州市中心医院(徐州医科大学徐州临床学院)新生儿科,徐州221009

出  处:《中华新生儿科杂志(中英文)》2023年第3期175-179,共5页Chinese Journal of Neonatology

基  金:江苏省青年医学重点人才(QNRC2016384);江苏省妇幼健康科研项目(F202063);徐州市科技局重点研发计划(KC20069)。

摘  要:目的探讨膀胱刺激法(bladder stimulation technique,BST)留取晚期新生儿尿液的临床价值。方法选择2020年11月至2022年3月徐州市中心医院新生儿科收治的病情相对稳定的晚期新生儿进行前瞻性随机对照研究,对照组采用尿袋收集法收集尿液;BST组采用BST(耻骨上叩击与腰骶部按摩交替5 min)留尿,BST前后仍采用尿袋收集法留尿。以60 min内留到未被粪便污染尿液>1 ml为留尿成功。应用SPSS 20.0统计软件,采用t检验和χ^(2)检验进行数据分析。结果共纳入231例,对照组114例、BST组117例。BST组留尿成功率高于对照组(65.8%比39.4%),BST组留尿成功时间[(30.2±8.5)min比(40.7±12.9)min]、尿液被粪便污染率(2.5%比21.1%)和尿液污染率(11.7%比26.7%)均低于对照组,差异有统计学意义(P<0.05)。BST组男婴和女婴留尿成功率(65.6%比66.0%)、BST组男婴和对照组男婴尿液污染率(9.5%比11.5%)差异均无统计学意义(P>0.05);BST组女婴尿液污染率低于对照组女婴(14.3%比47.4%),差异有统计学意义(P<0.05)。实施BST后留尿成功的71例患儿BST持续时间中位数为81(61,132)s,绝大部分新生儿除出现短暂的可安抚性哭闹外,均未发现其他不良反应。结论与尿袋收集法相比,实施BST可提高晚期新生儿喂奶后60 min内留尿成功率,缩短留尿成功时间,降低尿液污染率(尤其是女婴)。Objective To study the clinical value of bladder stimulation technique(BST)for clean-catch urine collection in late newborns.Methods From November 2020 to March 2022,relatively stable late newborns hospitalized in the Department of Neonatology of our hospital were enrolled in the prospective randomized controlled trial.The newborns were assigned into BST group and control group.In BST group,urine was collected using BST(suprapubic tapping alternating with lumbosacral massage for 5 min)20~30 min after feeding and specimen were collected using urine bag before and after BST.In the control group,urine was collected using urine bag method.The urine collection was considered successful if>1 ml of urine not contaminated by faeces were collected within 60 min.The t-test and χ^(2) test were used for data analysis.Results A total of 231 late newborns were included with 117 cases in BST group and 114 in control group.The rate of successful urine collection in BST group was higher than control group(65.8%vs.39.4%).The time needed for successful urine collection[(30.2±8.5)min vs.(40.7±12.9)min],the incidences of faeces contamination(2.5%vs.21.1%)and urine contamination(11.7%vs.26.7%)in BST group were all significantly lower than control group(all P<0.05).Male and female newborns in BST group had similar success rates of urine collection(65.6%vs.66.0%).Male newborns in BST group had similar urine contamination rate with control group(9.5%vs.11.5%)and female newborns in BST group had significantly lower urine contamination rate than control group(14.3%vs.47.4%,P<0.05).Urine was successfully collected in 71 newborns in BST group with median duration of BST for 81(61,132)s.No adverse effects were observed except for transient consolable crying.Conclusions Compared with urine bag collection method,BST improves successful urine collection rates and reduces the time needed for urine collection and urine contamination rates(especially for females).

关 键 词:膀胱刺激法 留尿 新生儿 

分 类 号:R722.1[医药卫生—儿科]

 

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