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摘要


臺灣地區老年人口的總數逐年增加,至2008年已達總人口數的10.2%。因此行動不便或伴隨患有慢性疾病的老年人數也有增多的趨勢,導致需長期使用導尿管的老年人也日益增加。紫尿袋症候群是臨床上不尋常但偶而可見的現象,主要發生在長期導尿管留置且有長期便秘的失能女性,當泌尿道感染到能產生氧靛基質硫酸酶/磷酸酶的格蘭氏陰性細菌有關。其呈現紫色是因靛紅質和靛質混合附著尿袋而成。此現象發生時病人通常是無症狀的,因此多數專家認爲並不需針對此症候群積極治療,只要保持泌尿道清潔及定期替換導尿管即可。

關鍵字

靛紅質 靛質 紫尿袋 泌尿道感染 老年人

並列摘要


The elderly population, accounting for approximately 10.2% of the total population in 2008, has been on a steady rise. The growing elderly population results in a corresponding increase in the number of elderly patients suffering mobility impairment or chronic illnesses which in turn props up the demand for urinary catheterization. Purple urine bag syndrome (PUBS) is an uncommon and sporadical phenomenon, mainly found in chronically catheterized and constipated, debilitated women and related to urinary tract infection induced by bacteria with indoxyl sulphatase/phosphatase. The purple urine is a mixture of indirubin and indigo. This phenomenon is usually asymptomatic and requires no aggressive treatment but careful maintenance of a good hygiene of urinary tract and regular change of urinary catheter.

參考文獻


鍾玉珠、黃慧莉(2006)。長期導尿管留置有關之泌尿道感染-紫色尿袋症候群之護理。長期照護雜誌。10,426-435。
Su FH,Chung SY,Chen MH(2005).Case analysis of purple urine-bag syndrome at a long-term care service in a community hospital.Chang Gung Med J.28,636-642.
Warren JW,Mandell GL,Dolin R (eds.)(2005).Principles and Practice of Infections Diseases.Philiadelphia:Elservier Churchill Livingstone.
Ribeiro JP,Marcelino P,Marum S,Fernandes AP,Grilo A(2004).Case report: purple urine bag syndrome.Critical Care.8,137.
王偉傑、朱宗信(2003)。紫色尿袋症候群。腎臟與透析。15,45-46。

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