中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2015年
3期
49-50
,共2页
神经源性膀胱( neurogenic bladder, NB)%康复训练%护理
神經源性膀胱( neurogenic bladder, NB)%康複訓練%護理
신경원성방광( neurogenic bladder, NB)%강복훈련%호리
Neurogenic bladder%Rehabilitation Training
目的：探讨神经源性膀胱功能障碍的康复训练及护理方法。方法：收集2008年6月～2011年6月48例入住我科的神经源性膀胱功能障碍患者，随机分为康复组30例和对照组18例。康复组采用间歇性导尿（ IC）、手法按摩及电针刺激等康复护理训练及治疗手段，对照组只采用常规的护理、间歇性导尿及留置导尿术。治疗期间定期进行尿常规检查及中段尿培养，比较2组患者尿路感染率发生情况，监测残余尿量及膀胱容量。结果：康复组患者治疗后膀胱容量有所增加，平均日排尿频率降低，残余尿量减少，排尿困难情况有明显改善，2组患者治疗前后生存质量评分及国际LUTS评分比较差异显著。结论：康复训练及护理可有效促进神经源性膀胱功能的恢复，可有效降低泌尿系统感染发生率，提高患者生存质量。
目的：探討神經源性膀胱功能障礙的康複訓練及護理方法。方法：收集2008年6月～2011年6月48例入住我科的神經源性膀胱功能障礙患者，隨機分為康複組30例和對照組18例。康複組採用間歇性導尿（ IC）、手法按摩及電針刺激等康複護理訓練及治療手段，對照組隻採用常規的護理、間歇性導尿及留置導尿術。治療期間定期進行尿常規檢查及中段尿培養，比較2組患者尿路感染率髮生情況，鑑測殘餘尿量及膀胱容量。結果：康複組患者治療後膀胱容量有所增加，平均日排尿頻率降低，殘餘尿量減少，排尿睏難情況有明顯改善，2組患者治療前後生存質量評分及國際LUTS評分比較差異顯著。結論：康複訓練及護理可有效促進神經源性膀胱功能的恢複，可有效降低泌尿繫統感染髮生率，提高患者生存質量。
목적：탐토신경원성방광공능장애적강복훈련급호리방법。방법：수집2008년6월～2011년6월48례입주아과적신경원성방광공능장애환자，수궤분위강복조30례화대조조18례。강복조채용간헐성도뇨（ IC）、수법안마급전침자격등강복호리훈련급치료수단，대조조지채용상규적호리、간헐성도뇨급류치도뇨술。치료기간정기진행뇨상규검사급중단뇨배양，비교2조환자뇨로감염솔발생정황，감측잔여뇨량급방광용량。결과：강복조환자치료후방광용량유소증가，평균일배뇨빈솔강저，잔여뇨량감소，배뇨곤난정황유명현개선，2조환자치료전후생존질량평분급국제LUTS평분비교차이현저。결론：강복훈련급호리가유효촉진신경원성방광공능적회복，가유효강저비뇨계통감염발생솔，제고환자생존질량。
Objective:To investigate the rehabilitation training and nursing method of neurogenic bladder dysfunction .Methods:From 2008 June to 2011 June 48 cases were admitted to our department of neurogenic bladder dysfunction .They were randomly divided into re-habilitation group and control group of 30 cases in 18 cases.Rehabilitation group was treated with intermittent catheterization (IC), mas-sage and electro-acupuncture and rehabilitation training and treatment .The control group only with routine nursing , intermittent catheter-ization and indwelling catheterization .During the period of treatment of urinalysis and urine culture , compared 2 groups of patients with u-rinary tract infection occurrence , monitoring the residual urine volume and bladder capacity .Results:After the end of treatment , the reha-bilitation group patients showed bladder capacity being increased , average daily micturition frequency being decreased , residual urine vol-ume being reduced , The situation of difficulty in urination had improved significantly .2 groups of patients before and after treatment , quality of life scores and international LUTS scores are significantly different .Conclusions:Rehabilitation training and nursing not only can effectively promote the recovery of neurogenic bladder function , but also can effectively reduce the incidence of urinary system infection , improve the quality of life of patients .
