新型紧凑型微孔区导尿管可使女性实现有效的膀胱排空,而无需停流。

Nikesh Thiruchelvam, Hashim Hashim, Christian Riis Forman, Lotte Jacobsen, Trine Sperup, Karin Andersen
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引用次数: 0

摘要

背景:使用传统孔导尿管(CEC)进行清洁间歇性自我导尿(CISC)时会出现尿流停止的情况,这就需要重新定位导尿管,以便恢复尿流。出现尿流停止的原因通常是膀胱粘膜被吸入了尿眼。目的:本研究旨在比较微孔区导尿管(MHZC)与 CEC 的膀胱排空性能:这是一项多中心、随机、开放标签、对照交叉研究,共有 82 名女性参加,对 MHZC 和 CEC 进行了比较。与膀胱排空性能有关的终点包括首次停流时的残余容量、停流次数和成功治疗的比例。此外,还对妇女对导尿管的感知以及装置的不适感进行了评估:使用 MHZC 进行导管治疗可显著降低停流风险,相对风险结果显示,由医护人员主导的导管治疗可将停流风险降低 2.74 倍,而自行导管治疗可将停流风险降低 2.52 倍。两种导管在首次停流时的残余尿量没有统计学差异。使用MHZC导尿管进行导尿时,更有可能实现零停流和残余尿量达标:MHZC 能够有效排空膀胱,而无需重新定位导尿管,简化了手术过程,使妇女对膀胱排空充满信心。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
New compact micro-hole zone catheter enables women to achieve effective bladder emptying without flow-stops.

Background: Clean intermittent self-catheterisation (CISC) with conventional eyelet catheters (CECs) is associated with urine flow-stops, which require the catheter to be repositioned so flow can resume. Flow-stops often occur because bladder mucosa is sucked into the eyelets.

Aims: This investigation aimed to compare the bladder-emptying performance of the micro-hole zone catheter (MHZC) with the CEC.

Methods: This was a multi-centre, randomised, open-label, controlled cross-over study with 82 women comparing the MHZC to the CEC. The endpoints relating to bladder-emptying performance included the residual volume at first flow-stop, the number of flow-stops and the proportion of successful treatment responses. The women's perception of the catheters was assessed as well as device discomfort.

Findings: Catheterisations with MHZC significantly reduced the risk of flow-stops, with relative risk results showing a 2.74 times lower risk of flow-stops with a health professional-led catheterisation and a 2.52 times lower risk during self-catheterisation. There was no statistical difference in residual urine volume at first flow-stop between the two catheters. Catheterisations with the MHZC were significantly more likely to achieve zero flow-stops and a residual urine volume of <10 ml at first flow-stop. The women had a significantly more positive perception of the MHZC than the CEC in areas including handling, confidence, sensation and satisfaction.

Conclusion: The MHZC enabled effective bladder emptying without catheters needing to be repositioned, supporting the women by simplifying the procedure and making them feel confident that their bladders were empty.

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