间歇导尿结合盆底肌训练对脊髓损伤病人神经源性膀胱的影响

发布时间：2018-02-01 17:58

本文关键词： 脊髓损伤神经源性膀胱间歇导尿盆底肌训练残余尿量　出处：《护理研究》2016年04期 　论文类型：期刊论文

【摘要】：[目的]观察间歇导尿结合盆底肌治疗对脊髓损伤病人神经源性膀胱的影响。[方法]选取脊髓损伤神经源性膀胱病人86例,随机分为研究组和对照组,每组43例,两组均采用间歇导尿和饮水计划,研究组在此基础上加用盆底肌电刺激和盆底肌运动训练。两组病人在治疗前、治疗后均采用B超检查膀胱残余尿量、尿动力学检查和拔除导尿管实验。[结果]与治疗前比较,两组病人治疗后残余尿量、最大膀胱容量、最大尿流率逼尿肌压差异均有统计学意义(P0.05);两组病人治疗前后的残余尿量、最大膀胱容量、最大尿流率逼尿肌压差值的差异均有统计学意义(P0.05);两组拔除导尿管实验成功率差异有统计学意义(P0.05)。[结论]间歇导尿结合盆底肌训练明显改善膀胱功能,是治疗脊髓损伤病人神经源性膀胱的一种有效、安全的方法。
[Abstract]:[Objective] to observe the effect of intermittent catheterization combined with pelvic floor muscle therapy on neurogenic bladder in patients with spinal cord injury. [Methods] 86 cases of neurogenic bladder with spinal cord injury were randomly divided into study group and control group with 43 cases in each group. Both groups were treated with intermittent catheterization and drinking water plan. The patients in the study group were treated with pelvic floor electromyography and pelvic floor muscle exercise training. Before and after treatment, the patients in both groups were examined by B-ultrasound for residual urinary volume, urodynamic test and catheter removal test. [Results: there were significant differences in residual urine volume, maximal bladder volume, maximal urinary flow rate and detrusor pressure between the two groups before and after treatment (P 0.05). There were significant differences in residual urine volume, maximal bladder volume, maximal urinary flow rate and detrusor pressure difference between the two groups before and after treatment (P 0.05). There was significant difference between the two groups in the success rate of removing catheter (P 0.05). [Conclusion: intermittent catheterization combined with pelvic floor muscle training is an effective and safe method for the treatment of neurogenic bladder in patients with spinal cord injury.
【作者单位】：江苏省昆山市第一人民医院;江苏省昆山市康复医院;
【基金】：苏州市2012年度科技发展计划(应用基础研究-医疗卫生),编号:SYSD2012022
【分类号】：R473.6
【正文快照】： (First People’s Hospital of Kunshan City Jiangsu Province,Jiangsu 215300China)脊髓损伤(spinal cord injury,SCI)是由外界直接或间接因素引起的脊髓结构、功能的损害,导致损伤平面以下脊髓功能的缺失,如各种运动、感觉、括约肌功能障碍。脊髓损伤后神经源性膀胱(neurog

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