CAJ | 학술논문

目的：探讨膀胱尿压测定评定系统在神经源性膀胱患者康复管理中的应用效果。方法将2013年9月至2014年6月收治的32例神经源性膀胱患者采用膀胱尿压测定评定系统进行评定，根据监测的膀胱顺应性、膀胱安全容量及残余尿量结果制定综合膀胱管理方案，比较膀胱管理前后膀胱安全容量及残余尿量的变化。结果32例神经源性膀胱患者中，低压大膀胱23例，高压小膀胱9例；经过近8周的全面膀胱管理后，与膀胱管理前比较，所有患者膀胱功能状态明显改善，差异有统计学意义（P<0.05）。结论膀胱尿压测定评定系统可以有效评估神经源性膀胱，为制定膀胱管理方案提供科学依据，以改善患者的排尿及控尿能力，帮助其恢复膀胱功能。
목적：탐토방광뇨압측정평정계통재신경원성방광환자강복관리중적응용효과。방법장2013년9월지2014년6월수치적32례신경원성방광환자채용방광뇨압측정평정계통진행평정，근거감측적방광순응성、방광안전용량급잔여뇨량결과제정종합방광관리방안，비교방광관리전후방광안전용량급잔여뇨량적변화。결과32례신경원성방광환자중，저압대방광23례，고압소방광9례；경과근8주적전면방광관리후，여방광관리전비교，소유환자방광공능상태명현개선，차이유통계학의의（P<0.05）。결론방광뇨압측정평정계통가이유효평고신경원성방광，위제정방광관리방안제공과학의거，이개선환자적배뇨급공뇨능력，방조기회복방광공능。
Objective To investigate the application effect of urinary bladder pressure assessment system in the rehabil-itation management of neurogenic bladder patients. Methods 32 neurogenic bladder patients admitted in this department from September 2013 to June 2014 were evaluated by using the urinary bladder pressure assessment system. The integrated bladder management plan was formulated according to the bladder compliance ,bladder safety capacity and residual urine volume results. The variation of bladder safety capacity and residual urine volume were compared between before and after bladder management. Results Among 32 cases of neurogenic bladder,23 cases were low pressure large bladder and 9 cases were high pressure small bladder. The bladder function status in all the patients was improved evidently after nearly 8-week comprehensive bladder man-agement,the differences showing statistical significance (P<0.05). Conclusion The urinary bladder pressure assessment system is able to evaluate neurogenic bladder effectively ,and provides the scientific evidence for making bladder management plan ,at the same time improves the patients′urinating and urine control abilities and helps to recover their bladder function.