间歇性导尿术对脊髓损伤患者尿路感染的影响  

Effects of intermittent catheterization methods on the urinary tract infection in patients with spinal cord injury

作　　者：徐水凌[1] 顾敏 尹秀[1] 姚云海 俞志良 

机构地区：[1]浙江省嘉兴学院医学院微生物学教研室,嘉兴314001 [2]浙江省嘉兴第二人民医院康复科

出　　处：《中华物理医学与康复杂志》2003年第8期483-485,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的探讨间歇性导尿术对脊髓损伤患者尿路感染的影响. 方法对31例脊髓损伤合并尿路感染患者采用间歇性导尿术进行膀胱功能训练,并分别于训练(留置导尿)前、间歇性导尿15 d、间歇性导尿30 d取患者尿液进行细菌培养及鉴定. 结果间歇性导尿15 d、30 d的尿路感染(菌落计数≥1×105cfu/ml)发生率分别为38.7%和35.5%,明显低于留置导尿尿路感染发生率(100%),P<0.05;尿道细菌的种类相似,主要是10株大肠埃希菌(占32.26%)和4株铜绿假单胞菌(占12.9%). 结论间歇性导尿术能降低脊髓损伤患者尿路感染的发生率,但对尿道细菌的种类影响不大.Objective To investigate the influence of intermittent catheterization methods on the urinary tract infection in patients with spinal cord injury. Methods Thirty-one cases of spinal cord injury and urinary tract infection were recruited. By use of intermittent catheterization, the bladder function was trained. Bacteria cul- ture and identification of in urine from the patients were conducted before the training (indwelling catheterization) and after 15 or 30 days of intermittent catheterization. Results The rates of urinary tract infection (colony count ≥1×10~5cfu/ml) after 15 or 30 days of intermittent catheterization were 38. 7% and 35. 5%, respectively, which were significantly lower than those of indwelling catheterization (100%), P < 0. 05. However, the detected bacte- ria strains were similar, i. e. 10 Escherichia coli strains (32. 26% ) and 4 Pseudomonas aetuginosa strains (12. 9% ). Conclusion Intermittent catheterization can reduce the urinary tract infection rate in patients with spinal cord injury.

关 键 词：间歇性导尿术 脊髓损伤 尿路感染 影响 

分 类 号：R472[医药卫生—护理学]