Paraplegia of the establishment of autonomous nursing urination.docVIP

 PAGE \* MERGEFORMAT 8 Paraplegia of the establishment of autonomous nursing urination [Abstract] below the level of paraplegic patients because of loss of nerve paralysis caused detrusor or sphincter dysfunction can lead to urinary retention or urinary incontinence [1], in order to ensure smooth urinary catheterization main measures. It is a clinical address retention and observation, record urine output, to maintain a coma, urinary incontinence, the patient local dry cleaner, and promote recovery of bladder function and means of the basic treatment. paraplegia is very important for the treatment. [Keywords:] paraplegic patients; independent urination; Care Paraplegic patients have more treatment from orthopedic surgery later we were in the Western Division of Rehabilitation, has indwelling catheter. As long indwelling catheter, will bring more problems, such as urinary tract infections, rehabilitation training The delay and the larger psychological and economic burden, so as soon as possible is the removal of urinary catheters reduce the complications of paraplegic patients, early bladder reflex automatically adapt to the important measures [2], for this problem, so far in June 2009 paraplegic patients hospitalized in our department in 10 patients, all male, the early removal of indwelling catheter, the establishment of self-care measures for urination. 1 pre- Usually within two weeks after injury, continued to maintain an open catheter, the bladder does not accumulate in urine, bladder get enough rest to reduce the chance of bladder wall damage [2], while observing the urine volume, color and character. 2 try to prevent urinary tract infections Bacterial invasion and proliferation of catheterization to create the conditions and duration of indwelling catheter catheter-related bacteriuria occurs most important factor. According to statistics, catheter indwelling urinary tract infection occurred 3 days 31%, 5 days infection rate was 74% ab