脊髓损伤患者的清洁间歇导尿

目的探讨脊髓损伤患者清洁间歇导尿的护理管理。方法 72例脊髓损伤患者随机分为两组 ,3 7例采用清洁间歇导尿 (清洁组 ) ,3 5例采用无菌间歇导尿 (无菌组 ) ;所有患者在导尿前后做尿培养 2次 ,清洁组在导尿前做手培养 1次。结果导尿前后尿培养结果不一致的患者 ,清洁组有 10例 ,无菌组有 11例 ,统计学分析无显著差异 (P >0 .0 5 ) ;手培养结果阳性 5例 ,菌落数在正常范围 ;两组各出现泌尿系感染 1例 ;6个月后随访 ,能够定时排尿 ,残余尿量少于 5 0ml的患者 ,清洁组为 3 5例 ( 94.5 9% ) ,无菌组为 3 3例 ( 94.2 9% ) ,两组间无显著性差异 (P >0 .0 5 )。结论清洁间歇导尿操作简便 ,效果可靠 ,是处理脊髓损伤患者膀胱排尿功能障碍的有效方法。

Clean intermittent catheterization of spinal cord injured patients

ObjectiveTo investigate the nursing management of clean intermittent catheterization (CIC) of spinal cord injured (SCI) patients.Methods72 SCI patients were randomly divided into two groups: CIC group (37 cases) and sterile intermittent catheterization (SIC) group (35cases); urine cultures were performed before and after catheterization in each group, hand cultures were also performed before catheterization only in CIC group. Results10 cases of CIC group and 11 cases of SIC group had different results of urine culture before and after intermittent catheterization, but there was no statistical difference between two groups ( P>0.05). 5 cases had positive results of hand culture, but the colony counting was in the normal range. Follow up was made six months after intermittent catheterization. There were 35 cases (94.59%) in CIC group and 33 cases (94.29%) in SIC group who could urinate regularly with post void residual less than 50 ml. One case in each group had symptomatic urinary tract infection respectively. ConclusionsCIC is a simple, safe and effective method to resolve the bladder dysfunction of SCI patients.