CAJ | 학술논문

目的：观察改良膀胱冲洗技术预防脊髓损伤后神经源性膀胱清洁间歇导尿患者尿路感染的临床效果。方法将40例脊髓损伤后神经源性膀胱清洁间歇导尿患者分为观察组(n=20)和对照组(n=20)。观察组采用生理盐水500 ml改良膀胱冲洗，隔天1次；对照组采用生理盐水500 ml传统膀胱冲洗，每天1次。结果治疗后4周和6周，观察组尿路感染率低于对照组(P<0.05)。结论改良膀胱冲洗技术可降低脊髓损伤后神经源性膀胱清洁间歇导尿患者尿路感染率。
목적：관찰개량방광충세기술예방척수손상후신경원성방광청길간헐도뇨환자뇨로감염적림상효과。방법장40례척수손상후신경원성방광청길간헐도뇨환자분위관찰조(n=20)화대조조(n=20)。관찰조채용생리염수500 ml개량방광충세，격천1차；대조조채용생리염수500 ml전통방광충세，매천1차。결과치료후4주화6주，관찰조뇨로감염솔저우대조조(P<0.05)。결론개량방광충세기술가강저척수손상후신경원성방광청길간헐도뇨환자뇨로감염솔。
Objective To explore the clinical effect of innovative bladder irrigation on prevention of urinary tract infection in neurogenic bladder patients with clean intermittent catheterization after spinal cord injury (SCI). Methods 40 neurogenic bladder patients with clean in-termittent catheterization after SCI were divided into observation group (n=20) and control group (n=20). The observation group received in-novative bladder irrigation with normal saline 500 ml every other day, and the control group received normal bladder irrigation with normal saline 500 ml every day. Results 4 weeks and 6 weeks after treatment, the incidence of urinary tract infection was lower in the observation group than in the control group (P<0.05). Conclusion The innovative bladder irrigation method can decrease the rate of urinary tract infec-tion in neurogenic bladder patients with clean intermittent catheterization after SCI.