YE Zhiyu 1,2 , ZHU Liang 1,2 , LI Simin 1,2 , DU Chunping 1,2
  • 1. Department of Rehabilitation Medicine, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
  • 2. Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
DU Chunping, Email: ducp118@163.com
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Objective To discuss the effect of the whole-course management model of intermittent catheterization (IC) in patients with neurogenic bladder (NB).Methods Patients with NB caused by incomplete spinal cord injury admitted to Department of Rehabilitation Medicine of West China Hospital of Sichuan University between May and October 2019 were selected. According to the random number table, the patients were randomly divided into the trial group and the control group. The control group adopted the traditional management mode of IC, and the trial group adopted the whole-course management mode of IC. The urination diary (single catheterization volume, residual urine volume, and times of urine leakage), bacteria count and leukocyte count in urine routine were compared between the two groups.Results Finally 80 patients were included, with 40 cases in each group. There was no significant difference in urination diary, bacteria count or leukocyte count in urine routine between the two groups (P>0.05). There was no significant difference between the two groups in urination diary in the second week of management (P>0.05). At the 12th week of management, there were statistically significant differences in urination diary between the two groups (P<0.05). The bacteria count and leukocyte count in the second and 12th week of the management in the trial group were lower than those in the control group (P<0.05).Conclusions The whole-course management of IC for patients with NB caused by incomplete spinal cord injury can effectively improve bladder volume, and reduce residual urine volume and times of urine leakage. It also can reduce the incidence of urinary tract infection, reduce urinary complications, and ultimately improve the quality of life of patients.

Citation: YE Zhiyu, ZHU Liang, LI Simin, DU Chunping. Effect of the whole-course manangement of intermittent catheterization in neurogenic bladder patients. West China Medical Journal, 2021, 36(5): 651-655. doi: 10.7507/1002-0179.202001036 Copy

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