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- 2026-02-28 发布于江西
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·4804·CHINESEEVIDENCE-BASEDNURSINGDecember,2025Vol.11No.23
·科研论著·
间歇性导尿改善卒中后神经源性膀胱病人
膀胱功能的Meta分析
汪杏,叶龄,邓倩,阳水莉
广东省第二中医院黄埔医院,广东512000
Intermittentcatheterizationforimprovingbladderfunctioninpatientswithpost-strokeneurogenic
bladder:aMeta-analysis
WANGXing,YELing,DENGQian,YANGShuili
HuangpuHospital,GuangdongSecondTraditionalChineseMedicineHospital,Guangdong512000China
CorrespondingAuthorWANGXing,E-mail:742582454@
AbstractObjective:Tosystematicallyevaluatetheeffectofintermittentcatheterization(IC)onbladderfunctionrecoveryandurinary
tractinfection(UTI)incidenceinpatientswithpost⁃strokeneurogenicbladder(PSNB),andtoprovideevidence⁃basedsupportforthe
selectionofcatheterizationmethodsinclinicalpractice.Methods:AcomprehensivesearchwasconductedinPubMed,WebofScience,
EMbase,CochraneLibrary,CNKI,WanFangData,CBMandVIP.TheretrievaltimewasfromtheinceptiontoFebruary14,2025.Two
researchersindependentlyperformedliteraturescreening,qualityassessment,anddataextraction.Meta⁃analysiswasconductedusing
RevMan5.3software.Outcomemeasuresincludedmaximumbladdercapacity,post⁃voidresidualvolume,bladderbalancerate,and
incidenceofurinarytractinfection.Results:Atotalof11articlesinvolving754PSNBpatientswereincluded.Meta⁃analysisresults
showedthatcomparedwithindwellingcatheterization,IChadapositiveeffectonimprovingmaximumbladdercapacity,post⁃void
residualvolume,andbladderbalancerate,andsignificantlyreducedtheincidenceofurinarytractinfections.Conclusion:Currentevidence
showsthatICcouldeffectivelypromotebladderfunctionrecoveryandreducetheriskofurinarytractinfectionsinPSNBpatients,
de
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