Nursing Report on Intermittent Catheterization in a Patient with Multiple Cerebral Infarctions Complicated by Spinal Cord Injury

LI Zhijia

doi:10.12209/CAIM202505240002

您当前的位置：

首页 >

文章列表页 >

Nursing Report on Intermittent Catheterization in a Patient with Multiple Cerebral Infarctions Complicated by Spinal Cord Injury

更新时间：2025-08-21

- Nursing Report on Intermittent Catheterization in a Patient with Multiple Cerebral Infarctions Complicated by Spinal Cord Injury
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  北京市鼓楼中医医院护理部，北京， 100009
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202505240002
  CLC：
- Received：24 May 2025，
  
  Accepted：08 July 2025，
  
  Published Online：21 August 2025，
- 稿件说明：
移动端阅览
LI Zhijia. Nursing Report on Intermittent Catheterization in a Patient with Multiple Cerebral Infarctions Complicated by Spinal Cord Injury[DB/OL].Clinical archives of integrative medicine, 2025.
DOI：

LI Zhijia. Nursing Report on Intermittent Catheterization in a Patient with Multiple Cerebral Infarctions Complicated by Spinal Cord Injury[DB/OL].Clinical archives of integrative medicine, 2025. DOI： 10.12209/CAIM202505240002.

摘要

本文总结1例多发性脑梗死并C4-C6脊髓损伤患者实施清洁间歇性导尿的护理经验。入院后完善评估，制定“每4 h实施1次间歇导尿＋膀胱功能训练”方案，并配合体位减压、感染防控、康复运动及心理疏导。治疗2周后，单次残余尿量降至≤80 mL，未见尿路感染，Barthel指数由15分增至30分，SAS由76.25分降至45分，排尿安全、生活功能及情绪均明显改善。

Abstract

This article summarizes the nursing experience of implementing clean intermittent catheterization （CIC） in a patient with multiple cerebral infarctions and C4–C6 spinal cord injury. Upon admission， a comprehensive assessment was conducted， and a protocol of "intermittent catheterization every 4 hours combined with bladder function training" was established， supplemented by postural decompression， infection prevention， rehabilitation exercises， and psychological support. After two weeks of treatment， the single residual urine volume decreased to ≤80 mL， with no urinary tract infections observed. The Barthel Index improved from 15 to 30 points， while the SAS score decreased from 76.25 to 45 points， indicating significant enhancements in voiding safety， daily living function， and emotional well-being.

关键词

Keywords

references

雷梦玲，赵方方，黄成前，等 . 成年人神经源性膀胱患者间歇性导尿管理的最佳证据总结［J］. 中国实用护理杂志， 2024 ， 40 （ 27 ）： 2135 - 2142 .

LEI M L ， ZHAO F F ， HUANG C Q ， et al . Summary of the best evidence for the management of intermittent catheterization in adults with neurogenic bladder ［J］. Chin J Pract Nurs ， 2024 ， 40 （ 27 ）： 2135 - 2142 . （in Chinese）

易涛，田雪，刘孝梅，等 . 电刺激联合清洁间歇导尿在宫颈癌术后尿潴留患者中的应用［J］. 重庆医学， 2024 ， 53 （ S1 ）： 43 - 46 .

YI T ， TIAN X ， LIU X M ， et al . Application of electric stimulation combined with clean intermittent catheterization in patients with urinary retention after radical resection of cervical cancer ［J］. Chongqing Med J ， 2024 ， 53 （ S1 ）： 43 - 46 . （in Chinese）

罗六妹，文春兰，叶丽萍 . 神经源性膀胱患者行间歇导尿护理对尿路感染的影响［J］. 中外医学研究， 2020 ， 18 （ 5 ）： 85 - 87 .

LUO L M ， WEN C L ， YE L P . Effect of intermittent catheterization nursing on urinary tract infection in neurogenic bladder patients ［J］. Chin Foreign Med Res ， 2020 ， 18 （ 5 ）： 85 - 87 . （in Chinese）

中华医学会泌尿外科学分会尿控学组 . 间歇性导尿临床应用中国专家共识［J］. 中华泌尿外科杂志， 2024 ， 45 （ 9 ）： 654 - 657 .

Chinese Medical Association Urology Branch Urinary Control Group . Chinese expert consensus on the clinical application of intermittent catheterization ［J］. Chin J Urol ， 2024 ， 45 （ 9 ）： 654 - 657 . （in Chinese）

秦晓雯，张琪敏，贺雷 . 系统化干预对神经源性膀胱间歇性导尿患儿尿路感染发生率及生活质量的影响［J］. 河北医药， 2023 ， 45 （ 6 ）： 940 - 942 .

QIN X W ， ZHANG Q M ， HE L . Effect of systematic intervention on urinary tract infection and quality of life in children with neurogenic intermittent urinary catheterization ［J］. Hebei Med J ， 2023 ， 45 （ 6 ）： 940 - 942 . （in Chinese）

张佳熠，李诗欣，骆沁熹，等 . 脊髓损伤患者康复期尿路感染特点及相关因素分析［J］. 中国康复， 2025 ， 40 （ 4 ）： 217 - 222 .

ZHANG J Y ， LI S X ， LUO Q X ， et al . Characteristics and related factors of urinary tract infections during the rehabilitation phase in patients with spinal cord injury ［J］. Chin J Rehabil ， 2025 ， 40 （ 4 ）： 217 - 222 . （in Chinese）

杨月楼，杨美云，侯红梅，等 . 基于膀胱安全容量的清洁间歇导尿在脊髓损伤神经源性膀胱的应用效果［J］. 现代中西医结合杂志， 2023 ， 32 （ 14 ）： 2011 - 2017 .

YANG Y L ， YANG M Y ， HOU H M ， et al . The application effect of clean intermittent catheterization based on bladder safety capacity in spinal cord injury neurogenic bladder ［J］. Journal of Modern Integrative Traditional Chinese and Western Medicine ， 2023 ， 32 （ 14 ）： 2011 - 2017 . （in Chinese）

刘怡，陈红，白云杰 . 间歇清洁导尿联合综合康复训练对脊髓损伤截瘫患者膀胱功能恢复及预后的影响［J］. 国际医药卫生导报， 2022 ， 28 （ 23 ）： 3320 - 3324 .

LIU Y ， CHEN H ， BAI Y J . Influence of intermittent clean catheterization combined with comprehensive rehabilitation training on bladder function recovery and prognosis of paraplegic patients with spinal cord injury ［J］. Int Med Health Guid News ， 2022 ， 28 （ 23 ）： 3320 - 3324 . （in Chinese）

张敏，赵玉国，孙树乾 . 自我清洁间歇导尿护理联合运动想象疗法对脊髓损伤后神经源性膀胱患者膀胱残余尿量及尿路感染的影响［J］. 武警后勤学院学报（医学版）， 2021 ， 30 （ 6 ）： 110 - 113 .

ZHANG M ， ZHAO Y G ， SUN S Q . Effect of clean intermittent self-catheterization nursing combined with motor imagery therapy on residual urine volume and urinary tract infection in patients with neurogenic bladder after spinal cord injury ［J］. J Logist Univ PAP Med Sci ， 2021 ， 30 （ 6 ）： 110 - 113 . （in Chinese）

蒋惠芳，陈云芳，郭静 . 间歇清洁导尿对脊髓损伤患者康复护理的价值［J］. 中国医药科学， 2021 ， 11 （ 16 ）： 140 - 142， 190 .

JIANG H F ， CHEN Y F ， GUO J . Value of intermittent clean of urethral catheterization in rehabilitation nursing of patients with spinal cord injury ［J］. China Med Pharm ， 2021 ， 11 （ 16 ）： 140 - 142， 190 . （in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing Experience of Acupoint Application Combined with Acupoint Injection in Treating Gastrointestinal Reactions After Chemotherapy for Lung Cancer： A Case Report

Nursing Experience of a Case of Knee Bi Syndrome Treated with Medicinal Bamboo Cupping Combined with Bloodletting Puncture Therapy

Nursing Experience with Integrated Traditional Chinese and Western Medicine for One Patient with Cryptogenic Organizing Pneumonia

Nursing Report on Hot Medicated Compress Combined with Moxibustion Therapy for Allergic Rhinitis in a Pregnant Patient

Nursing Experience with Integrated Chinese and Western Medicine in Managing Chemotherapy-Induced Nausea and Vomiting During Neoadjuvant Therapy for Pancreatic Cancer： A Case Report

Related Author

QI Shufang

JIAO Qiaohong

LIU Hanshuo

LIU Jianguo

WANG Xueying

YANG Ru

YAN Kang

LIU Shuhong

Related Institution

Department of Respiratory and Critical Care Medicine， Beijing Jiangong Hospital

Department of Orthopedics， Beijing Daxing Integrated Traditional Chinese and Western Medicine Hospital

Department of Respiratory Medicine， Beijing Hospital of Traditional Chinese Medicine， Capital Medical University

Department of Oncology， Dongfang Hospital Beijing University of Chinese Medicine

Department of Healthcare， Beijing Hospital， National Center of Gerontology； Institute of Geriatric Medicine， Chinese Academy of Medical Sciences

⁰