脊髓病后神经源性膀胱患者肠道膀胱扩大术的护理  

Perioperative Nursing of Sigmoid Colon Cystoplasty for Neurogenic Bladder after Spinal Cord Diseases

作　　者：高丽娟[1,2] 董向竹[1,2] 李秀华[1,2] 刘爱娟[1,2] 

机构地区：[1]中国康复研究中心北京博爱医院泌尿外科,北京市100068 [2]首都医科大学康复医学院,北京市100068

出　　处：《中国康复理论与实践》2010年第9期884-886,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的总结脊髓病后神经源性膀胱患者行乙状结肠膀胱扩大术围手术期护理。方法回顾性分析脊髓病后神经源性膀胱行乙状结肠膀胱扩大术31例患者的围手术期护理及术后随访资料。结果术后出现肠梗阻2例,短暂精神障碍1例,膀胱内真菌感染1例,均治愈。2例失访,余29例随访6个月～4年,恢复良好,能长期坚持间歇导尿。结论术前正确健康指导、肠道及膀胱准备,术后严密病情观察、胃肠减压及引流管道的护理,出院前间歇导尿的训练,出院后定期随访,是护理的关键内容,也是保证手术疗效的重要环节。Objective To discuss the perioperative nursing of sigmoid colon cystoplasty in neurogenic bladder patients after spinal cord diseases.Methods31 patients with neurogenic bladder due to the spinal cord diseases and received sigmoid colon cystoplasty were reviewed and followed up.ResultsThere were 2 cases complicated with bowel obstruction,1 case with acute alleosis and 1 case with mycotic infection in bladder after the operation,who were all cured.After discharge,2 cases lost the follow-up.During the follow-up period of 6 months to 4 years,29 patients recovered well and kept in self-intermittent catheterization.ConclusionPreoperative psychological nursing and intestinal and bladder preparation,postoperative gastrointestinal and urinary drainage catheters nursing,intermittent catheterization training,regular follow-up and health guiding were the key nursing contents and the important step for ensuring an excellent outcome for the operation.

关 键 词：脊髓 神经源性膀胱 肠道膀胱扩大术 护理 

分 类 号：R694[医药卫生—泌尿科学]