Abstract
Retrospective study on risk factors related to urinary tract infection in patients with spinal cord injury neurogenic bladder
  
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EN KeyWords: spinal cord injury  neurogenic bladder  urinary tract infection  risk factors
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作者单位
张秀 南京医科大学第一附属医院康复医学中心南京 210029 
华文洁 南京医科大学第一附属医院康复医学中心南京 210029 
李素 新沂市铁路医院康复医学科江苏 新沂 221400 
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EN Abstract:
  Objective: To clarify the related risk factors of urinary tract infection in patients with neurogenic bladder after spinal cord injury (SCI). Methods: A retrospective study was conducted on 67 patients with neurogenic bladder after SCI admitted to the rehabilitation department of our hospital, and the sex, age, SCI cause and injury level, neurogenic bladder course, urination method, bladder volume and pressure were recorded. Results: The incidence of urinary tract infection in patients with neurogenic bladder was 64.2%. One factor Chi square test showed that the age, sex, cause of SCI, ASIA grade, and injury level were not related to the occurrence of urinary tract infection, while neurogenic bladder disease course, urination mode, bladder pressure, and bladder volume were the related factors of urinary tract infection (P<0.05). The results of multivariate logistic regression showed that the independent risk factors for urinary tract infection of neurogenic bladder after SCI included indwelling catheter, bladder volume <200 mL, and increased bladder pressure (all P<0.05). Conclusion: The independent risk factors for urinary tract infection in patients with neurogenic bladder are indwelling catheter, bladder volume <200 mL and increased bladder pressure. Targeted measures should be taken clinically for the above risk factors to reduce the incidence of urinary tract infections, improve quality of life, and promote early recovery.
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