脊髓损伤后神经源性膀胱尿潴留患者康复治疗的临床研究  

Clinical study on the rehabilitation of patients with neurogenic bladder and urine retention after spinal cord injury

作　　者：孙延冬 孙艳芳[1] 国春花[1] 孙秀敏 郝亚娟 甄晓磊 杨楠 李倩[1] Sun Yandong;Sun Yanfang;Guo Chunhua;Sun Xiumin;Hao Yajuan;Zhen Xiaolei;Yang Nan;Li Qian(Department of Trauma Emergency Orthopedics,the Third Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第三医院创伤急救科,石家庄050051

出　　处：《脑与神经疾病杂志》2020年第10期615-619,共5页Journal of Brain and Nervous Diseases

基　　金：2017年度河北省医学科学研究重点课题计划(20170685)

摘　　要：目的探讨脊髓损伤(SCI)后神经源性膀胱尿潴留患者的康复治疗作用。方法将158例诊断为SCI后神经源性膀胱尿潴留患者,随机分为对照组和治疗组,对照组采用现代常规治疗,治疗组在现代常规治疗上加用康复治疗。观察两组患者膀胱功能恢复情况、治疗疗效和生活质量评分情况。结果与对照组相比,康复治疗后患者膀胱容量及残余尿量较前改善,自主排尿时间和自主排尿量也得到明显恢复,以上均优于对照组(P<0.05);治疗组发生尿路感染和肾积水比例均低于对照组(P<0.05);治疗组患者的疗效要优于对照组患者(P<0.05);与对照组比较,治疗组患者治疗后生活质量指数提高更加明显(P<0.05)。结论康复治疗可改善SCI后神经源性膀胱尿潴留患者膀胱容量及残余尿量,减少尿路感染及肾积水发生,并可为临床应用提供参考。Objective To explore the effect of rehabilitation in patients with neurogenic bladder and urine retention after spinal cord injury(SCI).Methods 158 patients with neurogenic bladder and urine retention after SCI were randomly divided into control group and treatment group.The control group was treated with modern routine therapy,and the treatment group was treated with rehabilitation therapy on top of modern routine therapy.Bladder function recovery,therapeutic efficacy and quality of life scores of the two groups were observed.Results Compared with the control group,the patients’bladder volume and residual urine volume were improved after rehabilitation treatment,and the time and volume of spontaneous micturition were also significantly recovered,which were all better than the control group(P<0.05).The proportion of urinary tract infection and hydronephrosis in the treatment group was lower than that in the control group(P<0.05).The curative effect of the treatment group was better than that of the control group(P<0.05).Compared with the control group,the quality of life index of the patients in the treatment group increased more significantly after treatment,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation treatment can improve the bladder volume and residual urine volume of patients with neurogenic bladder after SCI,reduce the occurrence of urinary tract infection and hydronephrosis,and improve the quality of life of patients,which can provide reference for clinical application.

关 键 词：脊髓损伤 神经源性膀胱 康复治疗 疗效 生活质量 

分 类 号：R651.2[医药卫生—外科学]