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目的探讨间歇导尿对预防脊髓损伤患者泌尿系统感染的效果。方法选取天津市人民医院脊柱外科2013年2月-2016年11月收治的脊髓损伤患者100例进间歇导尿和留置导尿的处理,在治疗7d和14d的清晨洗净外阴后,进行尿常规镜检,观察泌尿系感染的指标:所有患者均留取中段尿液进行尿常规镜检,男性≥5个白细胞/高倍视野,女性≥10个白细胞/高倍视野为阳性。结果间歇导尿组患者泌尿系统感染的发生率明显低于留置导尿组。结论间歇导尿对于脊髓损伤处于康复期的患者来说,可以避免患者因长期的排尿障碍,造成尿潴留,进而增加泌尿系统感染的风险,同时,间歇导尿可以锻炼患者的膀胱功能,定时充盈和排空,减少残余尿量,增加了膀胱的顺应性,相比留置导尿可以明显降低泌尿系统感染的发生率,减轻了患者的痛苦与经济负担。
Objective To investigate the effect of intermittent catheterization on the prevention of urinary tract infection in patients with spinal cord injury. Methods One hundred patients with spinal cord injury admitted to Tianjin People’s Hospital from February 2013 to November 2016 were treated with intermittent catheterization and indwelling catheterization. Urine routine examination was performed after the vulva was cleaned in the early morning after 7 and 14 days of treatment. Microscopic examination to observe indicators of urinary tract infection: All patients were taken in the urine for routine urinalysis, male ≥ 5 leukocytes / high power field, female ≥ 10 leukocytes / high power field was positive. Results The incidence of urinary tract infection in intermittent catheterization group was significantly lower than that in indwelling catheterization group. Conclusions Intermittent Catheterization For patients with convalescent spinal cord injury, patients can avoid urinary retention due to long-term dysuria and thus increase the risk of urinary tract infection. Meanwhile, intermittent catheterization can exercise bladder function in patients with regular filling And emptying, reduce residual urine volume, increased bladder compliance, compared with indwelling catheterization can significantly reduce the incidence of urinary tract infections, reducing the patient’s pain and financial burden.