Intermittent catheterization for improving bladder function in patients with post-stroke neurogenic bladder:a Meta-analysis
WANG Xing
YE Ling
DENG Qian
YANG Shuili
Abstract：Objective:To systematically evaluate the effect of intermittent catheterization(IC)on bladder function recovery and urinary tract infection(UTI)incidence in patients with post-stroke neurogenic bladder(PSNB),and to provide evidence-based support for the selection of catheterization methods in clinical practice.Methods:A comprehensive search was conducted in PubMed,Web of Science,EMbase,Cochrane Library,CNKI,WanFang Data,CBM and VIP.The retrieval time was from the inception to February 14,2025.Two researchers independently performed literature screening,quality assessment,and data extraction.Meta-analysis was conducted using RevMan 5.3 software.Outcome measures included maximum bladder capacity,post-void residual volume,bladder balance rate,and incidence of urinary tract infection.Results:A total of 11 articles involving 754 PSNB patients were included.Meta-analysis results showed that compared with indwelling catheterization,IC had a positive effect on improving maximum bladder capacity,post-void residual volume,and bladder balance rate,and significantly reduced the incidence of urinary tract infections.Conclusion:Current evidence shows that IC could effectively promote bladder function recovery and reduce the risk of urinary tract infections in PSNB patients,demonstrating good safety and clinical value.IC is recommended as a preferred catheterization strategy for PSNB patients in clinical practice.
Keywords：post-stroke neurogenic bladderintermittent catheterizationMeta-analysisevidence-based nursing
Publication Date：2025-12-10
Online Publishing Date：2025-12-19(First online date of this platform, not the publication date of the document)
Pages：7( 4804-4810 )