经尿道膀胱冲洗对男性神经源性膀胱护理干预的分析.docVIP

经尿道膀胱冲洗对男性神经源性膀胱护理干预的分析 [摘要]目的 探讨经尿道膀胱冲洗在男性神经源性膀胱护理干预中的实施效果及应用价值。方法 选取2014年9月～2015年6月本院门诊处收集的脊髓损伤导致的神经源性膀胱患者60例，随机分为对照组（清洁间歇性导尿）和观察组（清洁间歇性导尿基础上行经尿道膀胱冲洗），记录第1、3、6个月时两组患者平均每日导尿次数、平均每次导尿量、膀胱剩余尿量；记录发热、血尿、尿路感染等不良事件；对比两组膀胱清洗及并发症处理合计费用。结果 观察组第3、6个月时平均每日导尿次数、平均每次导尿量、膀胱剩余尿量与干预前比较，差异有统计学意义（P0.05）；与对照组比较，观察组每日导尿次数较少，平均每次导尿量多，膀胱剩余尿量少，差异有统计学意义（P0.05）；观察组膀胱冲洗次数及并发症处理合计费用少于对照组；观察组并发症发生率低于对照组（P0.05）。结论 经尿道膀胱冲洗能促进导尿，减少膀胱剩余尿量及并发症，值得临床推广应用。　　[中图分类号] R322.6+2 [文献标识码] A [文章编号] 1674-4721（2016）07（a）-0177-03　　[Abstract]Objective To explore the transurethral bladder irrigation in male neurogenic bladder nursing intervention effect and application value.Methods From September 2014 to June 2015，60 patients neurogenic bladder caused by spinal cord injury in our hospital were selected and randomly divided into control group （clean intermittent catheterization） and observation group （transurethral plasmakentic vaporization of bladder irrigation） based on clean intermittent catheterization，record the 1st，3rd，6th months average daily number of urethral catheterization in both groups，the average amount of urethral catheterization，bladder residual urine volume；Record fever，blood in urine，urinary tract infection and other adverse events；Compared two groups of bladder washing and complication treatment total cost.Results The 3rd，6th months average daily number of urethral catheterization，the average amount of urethral catheterization，bladder residual urine volume in the observation group compared with before intervention，with the siginificant difference（P0.05）；Compared with the control group and observation group，fewer daily urethral catheterization on average amount of urethral catheterization，bladder residual urine volume，with the siginificant difference（P0.05）.Observation group bladder washout and complication treatment combined cost less than that of control group；The complication rate of observation group was lower than those of control group（P0.05）.Conclusion Transurethral bladder irrigation can