论文部分内容阅读
目的探讨脊髓损伤出院后病人自我排尿训练的方法以及对泌尿系感染的影响.方法对出院的47例脊髓损伤病人的排尿进行指导和训练,出院2周后拔除导尿管,行间断排尿训练,重建膀胱反射.结果有32例成功重建排尿功能,其中有12例发生泌尿系感染；有15例未能重建排尿功能,其中发生泌尿系感染的有9例.排尿重建功能成功的患者其泌尿系感染的发生率明显低于重建未成功者,P<0.05,差异具有统计学意义.结论脊髓损伤患者出院后,可以通过有针对性的训练成功摆脱导尿管,建立膀胱反射,这种做法能有效降低泌尿系感染的发生率.“,”Objective To evaluate the impact of methods of urinary management on reconstructing urinary function and urinary tract infection(UTI) in patients with spinal cord injury (SCI) in lateral period. Methods Forty-seven patients with complete spinal cord injury out of spinal surgery unit to rehabilitation training first were trained to reconstruct urinary function. pulled out catheter two weeks after outhospital, patients were directed to intermittent catheterization and intermittent reconstructing urinary reflex. Results 12 patients in 32 patients getting successful urinary function occurred urinary tract infection and 9 patients in 15 patients default to reconstructing urinary reflex also caught by the infection. The successful patients were significantly lower in urinary infection than the default ones(P<0.05). Conclusion The discharged patients in SCI should begin intermittent catheterization and reconstruct urinary reflex function as soon as possible, which will be helpful to prevent urinary tract infection.