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留置导尿管患者的尿量及急性尿路感染发生率

Urinary output and incidence of acute urinary tract infection in patients with indwelling bladder catheters.

作者信息

Gibson C J, Moon A H

出版信息

Arch Phys Med Rehabil. 1978 Jan;59(1):17-20.

PMID:619846
Abstract

This study was designed to test the hypothesis that high urinary output in patients with an indwelling bladder catheter tends to protect the patients from acute urinary tract infection. Thirty-five cases of acute spinal cord injury were analyzed for average daily urine volume and frequency of acute urinary infection (defined as oral temperature above 101 F and requiring treatment for the infection). The study period encompassed the time from entry into the Rehabilitation Unit until a definitive effort was made to remove the catheter, a mean of 59 days. Twenty-six patients developed acute urinary infections while nine did not. Mean 24-hour urine output in the two groups was 2530 cc and 2540 cc, respectively. The only difference which could be found was a significant decrease in urinary output in the symptomatic group during the seven days preceding onset of acute infection.

摘要

本研究旨在检验以下假设

留置膀胱导管患者的高尿量倾向于保护患者免受急性尿路感染。分析了35例急性脊髓损伤患者的平均每日尿量和急性尿路感染频率(定义为口腔温度高于101华氏度且需要治疗感染)。研究期涵盖从进入康复单元到最终努力拔除导管的时间,平均为59天。26例患者发生急性尿路感染,而9例未发生。两组的平均24小时尿量分别为2530毫升和2540毫升。唯一能发现的差异是有症状组在急性感染发作前七天尿量显著减少。

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