文档介绍：2011 年 8 月护理学报 August,2011
第 18 卷第 8B 期 Journal of Nursing(China)
※基础护理
无菌间歇导尿对脊髓损伤尿潴留患者恢复自主排尿功能的影响
周君桂 a,范建中 a,庞战军 b,罗丹 a
(南方医科大学南方医院 ;,广东广州 510515)
摘要目的方法
[ ] 探讨无菌间歇导尿与常规留置尿管行膀胱训练对脊髓损伤尿潴留患者排尿功能的影响。将 67 例脊髓
损伤尿潴留患者分为对照组和观察组,对照组 33 例采用传统的留置尿管下膀胱训练方法,观察组 34 例采用拔除尿管间歇导尿方法,
2 个月后分析两组患者恢复自主排尿时间、残余尿量、每日自排尿量及泌尿系感染发生率。结果观察组患者较对照组恢复自主
排尿时间早,残余尿量少,每日自排尿量多,泌尿系感染发生率低,差异均有统计学意义。结论对于脊髓损伤尿潴留患者损伤 4
周后即使未出现拔管指征,也可以将尿管拔除采用间歇导尿的方法继续训练膀胱功能,间歇导尿可使患者较快地恢复自主排尿功
能,减少残余尿量,增加每日自主排尿量,降低泌尿系感染发生率。
关键词
[ ] 脊髓损伤; 尿潴留; 间歇导尿; 排尿功能
中图分类号文献标识码文章编号
[ ] R471 [ ] A [ ] 1008-9969(2011)08B-0061-04
Effect of Intermittent Catheterization on Recovery of Automatic Micturition in Spinal Cord
Injury Patients with Urinary Retention
ZHOU Jun-gui a, FAN Jian-zhong a, PANG Zhan-jun b, LUO Dan a
(a. Dept. of Rehabilitation; b. Dept. of Obstetrics and Gynecology, Nanfang Hospital,
Southern Medical University, Guangzhou 510515, China)
Abstract: Objective pare the effect of sterile intermittent catheterization with traditional bladder training for the recovery of
urinary function in spinal cord injury patients with urinary retention. Methods A total 67 patients with urinary retention were
randomly divided into experiment group with intermittent catheterization after extraction of indwelling catheter (n=34) and control
group with traditional bladder training with