膀胱安全容量导尿法在意识障碍并发尿潴留患者中的应用  

作　　者：童露露 张文静[1] 娄玲娣[1] 黄碎凤 

机构地区：[1]浙江省人民医院,310024

出　　处：《浙江临床医学》2024年第6期929-931,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省卫生健康科技计划项目(2021KY048)。

摘　　要：目的探讨膀胱安全容量导尿法对意识障碍并发尿潴留患者功能康复的效果。方法选取2021年1月至2022年12月本院康复科收治的首次意识障碍并发尿潴留患者40例,随机分为观察组和对照组,各20例。观察组行膀胱安全容量导尿法,对照组患者采用常规留置导尿,比较两组干预前后膀胱安全容量、残余尿量、尿常规白细胞(WBC)计数、血清C反应蛋白(CRP)水平、尿路感染例数和拔管情况。结果干预2周后,观察组膀胱安全容量和拔管率高于对照组,残余尿量、WBC计数、CRP水平和尿路感染例数低于对照组,差异有统计学意义(P<0.05)。结论膀胱安全容量导尿法可促进意识障碍患者膀胱功能恢复,减少残余尿量,降低尿潴留患者尿路感染相关指标水平,提高患者拔管率。Objective To explore the effect of bladder safe volume catheterization on functional rehabilitation of patients with disturbance of consciousness complicated with urinary retention.Methods A total of 40 patients with first disturbance of consciousness complicated with urinary retention who were hospitalized in the rehabilitation department of a tertiary hospital from January 2021 to December 2022 were convenient selected and randomly divided into the experimental group and the control group,with 20 cases in each group.The experimental group was treated with bladder safety capacity catheterization,and the control group was treated with conventional indwelling catheterization.The bladder safety capacity,residual urine volume,urine routine white blood cell(WBC)count,serum C-reactive protein(CRP)level,urinary tract infection cases and decannulation before and after intervention were compared between the two groups.Results After 2 weeks of intervention,the bladder safety capacity and decannulation rate of the experimental group were higher than those of the control group,and the residual urine volume,WBC count,CRP level and the number of urinary tract infections were lower than those of the control group(P<0.05).Conclusion Bladder safe volume catheterization can promote the recovery of bladder function in patients with disturbance of consciousness,reduce residual urine volume,reduce the level of urinary tract infection related indicators in patients with urinary retention,and improve the decannulation rate of patients.

关 键 词：意识障碍 尿潴留 膀胱安全容量 间歇导尿 

分 类 号：R473.6[医药卫生—护理学]