脊髓损伤患者膀胱功能重建与泌尿系统感染的预防  

Reconstruct bladder function and prevent urinary tract infection of patients with spinal cord injury

作　　者：闫金玉[1] 李剑锋[1] 张旭[1] 刘遵南[1] 

机构地区：[1]内蒙古医学院第二附属医院康复科,呼和浩特010030

出　　处：《中国医师进修杂志》2010年第29期27-29,共3页Chinese Journal of Postgraduates of Medicine

基　　金：国家自然科学基金（30860300）

摘　　要：目的观察综合康复治疗方法对脊髓损伤后神经源性膀胱造成的相关症状的治疗及泌尿系统感染的预防效果。方法将57例脊髓损伤患者采用随机数字表法分为治疗组（29例）和对照组（28例），治疗组采用综合康复治疗方法，对照组主要采用常规插管导尿及TDP理疗仪等。治疗3个月后对两组患者的泌尿系统感染发生率及Barthel指数小便功能项进行评分。结果治疗组治疗后Barthel指数小便功能项评分为（8．93±6．27）分、泌尿系统感染发生率为13．79％（4／29），明显优于对照组的（5．16±6．82）分、67．86％（19／28），两组比较差异有统计学意义（P〈0．05）。结论综合康复治疗可以有效改善脊髓损伤患者的膀胱功能，并能有效减少泌尿系统感染的发生。Objective To observe the effectiveness of comprehensive rehabilitation for neurogenic bladder of patients with spinal cord injury and prevent urinary tract infection （UTI）. Methods Fifty-seven patients with spinal cord injury were randomly divided into two groups： treatment group （29 cases） and control group （28 eases）. The patients in treatment group were treated with comprehensive rehabilitation, while those in control group were treated mainly with catheterization and TDP equipment. Scored with Barthel index and the rate of UTI. Results It was shown that the improvement of Barthel index after treatment [ （8.93 ± 6.27 ） scores ] and the rate of UTI [ 13.79% （4/29） ] were significantly better than those in control group[ （ 5.16 ±6.82 ） scores,67.86%（19/28 ） ], which had significant differences （P 〈 0.05 ）. Conclusion Comprehensive rehabilitation can reconstruct bladder function and prevent UTI of patients with spinal cord injury effectively.

关 键 词：康复 脊髓损伤 感染 膀胱功能重建 

分 类 号：R473.6[医药卫生—护理学]