脊髓损伤患者实施间歇导尿指征的研究

目的 探讨脊髓损伤患者拔出尿管、进行间歇导尿的指征.方法 2007年1月-2008年12月收治了脊髓损伤患者33例.按照简单随机的方法 将患者分为实验组和对照组.实验组18例,对照组15例.实验组患者拔出尿管、实施间歇导尿的指征为每日输液量＜500 ml、无压疮、膀胱容量测定＞150 ml.对照组患者拔除尿管、进行间歇导尿的指征为患者尿管测压＞28 cm H2O(1 cm H2O=0.098 kPa).比较2组患者留置尿管时间、留置尿管期间泌尿系统感染率,实施间歇导尿1个月后的膀胱容量、膀胱残余尿量、间歇导尿次数.结果 实验组留置尿管的时间要短于对照组,实验组留置尿管期间的感染率低于对照组;2组患者实施间歇导尿1个月后,实验组患者的膀胱残余尿要少于对照组,间歇导尿次数要少于对照组.结论 在患者每日输液量＜500 ml、无压疮、膀胱容量测定＞150 ml的指征下,拔出尿管、实施间歇导尿,缩短了留置尿管的时间,减少了泌尿系统感染,对患者膀胱功能的恢复有利.

Research about the indication of intermittent urethral catheterization for patients with spinal cord injury

Objective To know the indication for patients with spinal cord injury during the course of intermittent urethral catheterization.Methods Divided 33 patients with spinal cord injury into the experimental group(18 cases)and control group(15 cases)randomly.The indication of beginning in the experiment group was less than 500 ml transfusion per day,without press ulcer,more than 150 ml bladder capacity.The indication in the control group was＞28 cm H2O pressure of bladder.Compared the effects between the two groups.Results The incidence rate of infection in the experiment group was lower than control group,all the indexes of uretharal catheterization were better in the experiment group than those of in the control group.Conclusions The indication of less than 500ml transfusion per day,without press ulcer,more than 150 ml bladder capacity are proper.