标题： Clinical evaluation of the multifunctional suprapubic catheter in patients requiring permanent suprapubic cystostomy: a prospective randomized trial in a single center.
作者： Dong, Hai-Jing; Lu, Yi; Zhang, Nian-Zhao; Zhang, Wen-Hua; Wu, Shuai; Zhao, Hui; Zhang, Chang-Cun; Hou, Si-Chuan
作者机构：[ Dong, Hai-Jing; Dong HJ] Department of Urology, Qingdao Municipal Hospital Qingdao University, Qingdao City, 266071, Shandong Province, China.;[ Lu, 更多
来源： Journal of clinical nursing
摘要： AIMS AND OBJECTIVES: To assess the clinical effect of the multifunctional suprapubic catheter (MSC) on occurrence of cystospasm, catheter occlusion, the catheter-related urinary tract infection and remission of over-activity bladder, by comparing with the conventional suprapubic catheter (CSC) in patients with permanent suprapubic cystostomy. BACKGROUND: The conventional suprapubic catheter usually presents with high incidence of catheter-associated complications. DESIGN: A prospective randomized clinical trial in a single-center. METHODS: Between Jan 2014 and Jan 2015, a total of 91 consecutive patients with permanent suprapubic cystostomy were prospectively randomized into two groups: the MSC group (n = 43) and CSC group (n = 48). RESULTS: Our results showed that the total times of cystospasm in the MSC group were significantly less than that in the CSC group during the follow-up time (p < 0.001). In addition, the mean spasmodic duration per time in the MSC group was significantly shorter than that in the CSC group (p < 0.001). Besides, catheter occlusions were observed in 23 (25.27%) patients, including 5 (11.63%) in the MSC group and 18 (37.50%) in the CSC group (p = 0.005). The lower rate of positive urine culture was also found in the MSC group but with no significant difference (p = 0.540). Furthermore, the urodynamic measurement data demonstrated that the patients in the MSC group had a greater remission rate of over-activity bladder after catheter change (p < 0.001). CONCLUSIONS: The present data showed that the multifunctional suprapubic catheter could significantly reduce the incidence of catheter occlusion, ameliorate the symptom of cystospasm and relieve the over-activity bladder, but have no influence on the catheter-related urinary tract infection. This article is protected by copyright. All rights reserved.