摘要
目的探讨脊髓损伤患者术后膀胱功能训练的护理方法。方法选取2010年7月～2011年6月收治的脊髓损伤患者共49例,并将其随机分为3组,其中无菌间歇导尿组17例,清洁间歇导尿组16例,保留导尿组16例(该组为对照组)。分别给予为期1个月的无茵间歇导尿、清洁间歇导尿和保留导尿。并对所有患者的尿常规等指标进行检测并分析。结果无茵间歇导尿组、清洁间歇导尿组和保留导尿组的尿路感染发生率分别为5.9%、6.3%和87.5%,对照组明显高于间歇组(P<0.05),无菌间歇导尿组低于清洁间歇导尿组,但不存在统计学差异(P>0.05)。三组患者的膀胱容量在训练前后差异无显著性(P>0.05),三组患者的残余尿在试验前后差异显著(P<0.05),但无菌间歇导尿组与清洁间歇导尿组差异无显著性(P>0.05)。结论清洁间歇导尿可促使患者膀胱功能的恢复,并能增强患者的自尊及自主权,建立反射性膀胱自行解尿,提高患者的生活质量。
Objective To learn the effective nursing to spinal cord injuries who have to recover their bladder function.Methods 49 spinal cord injuries in hospital from Jul 2010 to Jun 2011 in our hospital.The samples are divided into 3 groups randomly：the intermittence clean catheterization group （17,G1）,the aseptic intermittence catheterization group （16,G2） and the control group （16,G3）.The test last one month respectively and measured routine urine test and so on.Results The urinary tract infection rate was 5.9%、6.3%、and 87.5% respectively.The G3 was higher than the G1 and G2 obviously（P0.05）,the G1 was lower than G2 （P0.05）.The difference of bladder volume of three groups was no significance （P0.05）,the residual urine in G2 and G3 have obvious difference compared with control group （P0.05）,but there is no obvious difference between G1 and G2 （P0.05）.Conclusion The intermittence clean catheterization can promote the neuron bladder function recovery,increase patient＇s self-respect and autonomy,make patients control the bladder again and enjoy better life quality.
出处
《当代医学》
2011年第31期16-17,共2页
Contemporary Medicine
关键词
脊髓损伤
膀胱功能
护理
Spinal cord injuries
Bladder function
Nursing
