目的 观察女性尿液引流装置应用于脑卒中后尿失禁(urinary incontinence,UI)患者的疗效。方法 我院神经血管外科2014-01至2015-07收治的脑卒中女性UI患者107例,按是否应用女性尿液引流装置分成观察组(53例)和对照组(54例),观察组采用新型女性尿液引流装置,对照组采用传统护理方法。观察并记录患者使用7、14 、21 d尿路感染、皮肤压疮、阴部皮肤红肿溃烂及尿失禁生活质量问卷(incontinence quality of life,I-QOL)等情况。结果 使用14 d尿常规白细胞检查,观察组阳性率为34.0%,明显低于对照组74.3%,观察组尿培养阳性率为15.1%明显低于对照组27.8%,差异有统计学意义(P<0.05);使用21 d后,对照组的尿培养阳性率为33.3%,明显高于观察组16.7%,差异有统计学意义(P<0.05);观察组患者出现尿液外漏、压疮、阴部皮肤溃烂及外阴红肿等并发症的发生率明显低于对照组,I-QOL评分观察组高于对照组,差异有统计学意义(P<0.05)。结论 新型女性尿液引流装置可降低尿路感染发生率;减少压疮、外阴红肿的发生,明显改善患者的生活质量,值得临床推广。

Objective To investigate the nursing efficacy of women’s urine drainage device in patients with urinary incontinence following stroke. Methods 107 female patients with stroke admitted to Neurovascular Surgery Department of General Hospital of Armed Police Forces between January 2014 and July 2015 were retrospectively analyzed. The patients were divided into treatment group (53 cases) and control group (54 cases), in whom urinary incontinence was managed with women’s urine drainage device and traditional care devices respectively.We discussed the advantages and disadvantages of different urine collection devices by comparing urinary tract infections, pressure sores, genital skin swelling and ulceration and life quality of patients.Results There was statistically significant difference between the two groups in terms of urine leukocyte count (34.0% for the treatment group and 74.3% for the control group,respectively,P<0.05) and urine culture positive rate (15.1% for the treatment group and 27.8% for the control group, respectively, P＜0.05).Besides, the incidence rates of the adverse events of urine leakage, pressure sores, genital swelling and ulceration were significantly lower in the treatment group, while scoring for the Incontinence Quality of Life questionnaire (I-QOL) was statistically higher in the treatment group.Conclusions The new-type women’s urine drainage device helps reduce the incidence of urinary tract infections, pressure ulcers, penile swelling, ulceration, and some other complications, as well as improve patients’ life quality. It is worth clinical popularization.