摘要
目的探讨便携式膀胱扫描仪结合尿流动力学检查在患者间歇导尿中的应用效果。方法选取四川大学华西医院拟行间歇导尿患者60例,按随机数字表法分为对照组和试验组各30例。对照组在尿流动力学检查指导下进行饮水计划和间歇性导尿,试验组在对照组基础上应用便携式膀胱扫描仪监测患者尿量并开展间歇性导尿,观察两组治疗前后膀胱容量及残余尿量变化,记录两组尿液导出量、遵循饮水计划及规范化间歇导尿,比较两组不良事件发生率和尿路感染发生率。结果治疗前后两组膀胱容量比较差异无统计学意义(P>0.05),治疗后试验组残余尿量低于对照组,尿液导出量、遵循饮水计划、规范化间歇导尿占比高于对照组(P<0.05);试验组不良事件总发生率及治疗后4周尿路感染率低于对照组(P<0.05)。结论便携式膀胱扫描仪结合尿流动力学检查在脊髓损伤患者间歇导尿指导中有明确的应用效果,对提高导尿效果和降低患者未执行正确导尿、尿路感染等发生率方面有积极意义。
Objective To investigate the application effect of portable bladder scanner combined with urodynamic examination in intermittent catheterization.Methods Sixty patients planned to undergo intermittent catheterization at West China Hospital of Sichuan University were randomly divided into control or experimental group,30 in each group.The control group received a drinking plan and intermittent catheterization under the guidance of urodynamic examination.On this basis,the experimental group used a portable bladder scanner to monitor the urine output and received intermittent catheterization.Changes of bladder volume and residual urine volume in the two groups were observed.The urine output,the drinking plan and the standardized intermittent catheterization were recorded.The incidences of adverse events and urinary tract infections were compared between the two groups.Results There were no significant differences in bladder volume between the two groups before and after treatment(P>0.05).However,the experimental group had significantly less residual urine volume than the control group did after treatment(P<0.05).The urine output,the proportions of following the drinking plan and the standardized intermittent catheterization in the experimental group were significantly higher than those in the control group(P<0.05).The total incidences of adverse events such as bladder hyperinflation,delayed catheterization and inappropriate catheterization in the experimental group was significantly lower than that in the control group(P<0.05).After 4 weeks of treatment,the experimental group had a significantly lower urinary tract infection rate than the control group did(P<0.05).Conclusion The portable bladder scanner combined with urodynamic examination can be applied in intermittent catheterization of patients with spinal cord injury.It can improve the catheterization effect and reduce the incidences of inappropriate catheterization and urinary tract infection.
作者
雷倩
杨杰
张建梅
LEI Qian;YANG Jie;ZHANG Jian-mei(Department of Rehabilitation Medicine Center,West China Hospital,Sichuan University and Key Laboratory of Rehabilitation Medicine in Sichuan Province,Chengdu 610041,China)
出处
《实用医院临床杂志》
2021年第2期149-152,共4页
Practical Journal of Clinical Medicine
关键词
便携式膀胱扫描仪
尿流动力学
间歇导尿
应用效果
Portable bladder scanner
Urodynamics
Intermittent catheterization
Application effect
