Hu Xiaoyan,Zhang Lu,Chen Jing,Gong Guizhi,Song Bo,Li Longkun.Effect of self cleaning catheterization on urine storage function and complications of patients with neurogenic bladder[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(06):515-518.
Hu Xiaoyan,Zhang Lu,Chen Jing,Gong Guizhi,Song Bo,Li Longkun.Effect of self cleaning catheterization on urine storage function and complications of patients with neurogenic bladder[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(06):515-518.DOI:
Effect of self cleaning catheterization on urine storage function and complications of patients with neurogenic bladder
Objective To explore the effect of self cleaning catheterization on urine storage function and complications of patients with neurogenic bladder. Methods Seventy-two patients with neurogenic bladder in our hospital received self cleaning catheterization. The perioperative complications
urine dynamics and treatment satisfaction were analyzed before and after the catheterization. Results On the 60th day after continuous catheterization
the complications of the patients were decreased significantly
and the inciden
ce of urinary tract infection were reduced from 58.33% to 26.39% (P0.01). Except serum level of K
+
blood urea
creatinine
and uric acid were significantly improved. Moreover
the urodynamics was improved significantly. The average residual urine volume (PVR)
bladder pressure (P
ves
)
and bladder capacity (V
H2O
) were decreased
while the detrusor pressure (P
det
) was increased significantly. The occurrences of detrusor-sphincter dyssynergia and low compliance bladder were significantly decreased (P0.05). The self treatment satisfaction scores showed improvements at different degrees. Conclusion Self cleaning catheterization may effectively reduce the incidence of urinary tract infection
improve the urine storage function
and increase the survival quality in patients with neurogenic bladder
and is conducive to therapy of the patients with neurogenic bladder.