CAJ | 학술논문

目的：观察间歇导尿综合疗法对脊髓损伤（ spinal cord injury，SCI）患者膀胱功能恢复及尿路感染的影响。方法40例SCI患者按入院顺序分为对照组和治疗组各20例，对照组采用常规留置导尿及护理，治疗组采用无菌间歇导尿术、膀胱功能训练、心理护理等综合疗法。观察两组患者膀胱功能积分、尿路感染发生率以及综合疗效。结果治疗1月后，两组膀胱功能均较前有显著改善，治疗组的改善效果明显优于对照组，尿路感染发生率明显低于对照组，综合疗效也明显优于对照组，差异有统计学意义（ P＜0.05）。结论间歇导尿综合疗法对SCI患者膀胱功能具有显著恢复作用。
목적：관찰간헐도뇨종합요법대척수손상（ spinal cord injury，SCI）환자방광공능회복급뇨로감염적영향。방법40례SCI환자안입원순서분위대조조화치료조각20례，대조조채용상규류치도뇨급호리，치료조채용무균간헐도뇨술、방광공능훈련、심리호리등종합요법。관찰량조환자방광공능적분、뇨로감염발생솔이급종합료효。결과치료1월후，량조방광공능균교전유현저개선，치료조적개선효과명현우우대조조，뇨로감염발생솔명현저우대조조，종합료효야명현우우대조조，차이유통계학의의（ P＜0.05）。결론간헐도뇨종합요법대SCI환자방광공능구유현저회복작용。
Objective Objective To observe the influence of intermittent urethral catheterization therapy on recovery of bladder function and urinary tract infection in patients with spinal cord injury( SCI) .Methods According to the visit sequence,40 SCI patients were randomized divided into control group(n =20)and treatment group(n =20).The control group was given routine retention cath-eterization while the treatment group was given sterile intermittent urethral catheterization,the training of bladder function and psycho-logical care.Scores of bladder function,urinary tract infection rate and comprehensive therapeutic effect were evaluated.Results The bladder function was improved in the two groups after treatment for one month.The improvement was obviously better in the treatment group than that in the control group.The rate of urinary tract infection in the treatment group was lower than that in the control group. The comprehensive therapeutic effect in the treatment group was also better than that in the control group.The differences were all sta-tistically different(P<0.05).Conclusion The intermittent urethral catheterization has a significant effect on the recovery of bladder function in SCI patients.