摘要
目的研究Crede法排尿、间隙导尿与持续导尿对继发尿路感染和远期尿道功能的影响。方法113例神经源性膀胱功能障碍者分别采用Crede法排尿、间隙导尿和留置导尿,定期尿液培养进行尿路感染率比较;导尿时间达4～6个月后配合膀胱尿路造影(VCUG)及尿流动力学检查观测尿液返流情况、膀胱颈形态变化和尿道功能指标。结果Crede法排尿组、间隙导尿组和留置导尿组其尿路感染率分别为16.6%、29.7%、和35.1%,尿液返流率分别为17.9%、32.4%和40.5%,差异有显著性意义(P<O.05);VCUG及尿流动力学检查提示持续导尿较Crede法排尿及间隙自家导尿明显损害膀胱颈形态和远期尿道功能。结论对丧失自主排尿功能但无严重意识障碍者尽可能减少留置导尿的应用范围和时间,间隙导尿尚不能有效防止尿液返流,采用Crede法排尿对控制尿路感染、维护和促进排尿功能恢复均具有重要意义。
Objective Study the Crede method urinate , Intermittent Caltheterization and Tupy drainage urine to the infiuenee on infection and fanetion of urethra .Method 113 patients with nerves source bladder dysfunction distinguish toadopt Crede method urinate , Intermittent Caltheterization and Tupy drainage urine, periodical urine educate proceeding urethra infection rate comparison ;Last 4-6 months mach with the VCUG and Urodynamics the check urine return appearance incircumstace ,bladder variety and urethra function indexsign .Results The Crede method urinate , Intermittent Caltheterization and Tupy drainage urine its urethra rate distingusish for 16.6%, 29.7% and 35.1%;urine return rate distingusish for 17.9%, 32.4 % and 40. 5%.The difference shows remarkable significane（P〈0. 05）.VCUG and Urodynamics the check hints Tupy drainage urine than Crede method urinate and Intermittent Caltheterization obvious jugular appearance in bladder of damage and long-term the function of urethra .Conclusion To lose autonomic urinate function but have no serious the obstacle of conciousness proper reduce possibly application and time of Tupy drainage urine . Intermittent Caltheterization conot effective preventive urine return. Adoption Crede method urinate to the contor urethra infectoion ,maintenance and promote urethra function instauration have the cardinal meaning.
出处
《国际医药卫生导报》
2005年第16期37-40,共4页
International Medicine and Health Guidance News
关键词
Crede法排尿
间隙导尿
持续导尿
尿路感染
尿道功能
Crede urinate Intermittent Caltheterization Tupy drainage Urine infection Urethra function
