生物反馈训练法用于52例脊髓损伤病人自主排尿训练的研究  

The auto-urination training of the paralytic bladder for spinal cord injury patients

作　　者：阳世伟[1] 孙其凤[1] 李金霞[1] 唐峥杰[1] 张薇[1] 龚敏[1] 

机构地区：[1]深圳市第二人民医院护理部,518035

出　　处：《中华护理杂志》2005年第2期81-83,共3页Chinese Journal of Nursing

基　　金：深圳市科技局2003年立项课题(代码200304066)

摘　　要：目的提高脊髓损伤(SCI)病人瘫痪膀胱充盈度感觉代偿功能和自主排尿功能。方法2002年11月至2003年12月,对52例SCI病人于伤后1周开始进行卧位、半坐卧位或坐位的生物反馈训练,观察病人对膀胱充盈度的感觉及代偿功能恢复情况,测定脱离导尿管后自主排尿恢复时间及膀胱残余尿量(RUV)。结果本组全部于出院前完成自主排尿过程,拔除尿管时间为15～53d,平均30±15d;92.3%的病人对膀胱充盈度感觉代偿功能基本正常,76.9%的病人RUV≤100ml。结论生物反馈训练法能有效提高SCI病人膀胱充盈度的感觉代偿功能和自主排尿功能。Objective To improve the feeling compensation of paralytic bladder and auto-urination function in spinal cord injury (SCI) patients.Methods 52 SCI patients hospitalized during November, 2002 to October, 2003 were studied. Biological feedback training at supine or half-supine position was adopted 1 week after the injury. The feeling compensation, auto-urination recovery and residual urine volume (RUV) were observed.Results All 52 patients regained auto-urination before they were discharged, and the recovery time was 15 to 53 (averaged 30±15) days. The feeling compensation of paralysis bladder was normal in 92.3%(48/52)of the patients, and RUV less than 100ml in 76.9% (40/52) of them. Conclusion The biological feedback training can effectively improve the feeling compensation and auto-urination function of the paralytic bladder.

关 键 词：生物反馈训练法 脊髓损伤 自主排尿训练 排尿障碍 康复护理 

分 类 号：R473.6[医药卫生—护理学]