冷热交替膀胱冲洗对神经源性膀胱康复效果的研究  

Effect of hot and cold water alternate bladder douche to neurogenic bladder patients' rehabilitation

作　　者：贾秀萍[1] 李甜[2] 莫蓓蓉[3] 

机构地区：[1]深圳市南山区人民医院神内康复科,广东深圳518052 [2]南昌大学医学院研究部 [3]深圳市南山区人民医院护理部

出　　处：《现代预防医学》2012年第14期3704-3705,3707,共3页Modern Preventive Medicine

基　　金：冷热交替膀胱冲洗对神经源性膀胱功能恢复的临床效果研究(2010055)

摘　　要：目的探讨使用冷热交替膀胱冲洗对神经源性膀胱的康复效果。方法将60例神经源性膀胱的患者随机分为对照组与实验组各30例。对照组采用常规膀胱功能训练,实验组在膀胱再训练基础上采用1 d 1次的冷热交替膀胱冲洗。建立膀胱冲洗日记,训练4周后统计训练成功病人膀胱训练的天数和人数以及每次膀胱冲洗前后血压的变化。结果实验组膀胱训练成功率高于对照组(P﹤0.05),同时实验组在减少训练天数上优于对照组(P﹤0.05),但膀胱冲洗过程中,冲洗前、中、后血压变化比较差异无统计学意义(P﹥0.05)。结论对神经源性膀胱患者使用冷热交替膀胱冲洗的方法,效果优于以往的常规膀胱功能训练,值得临床推广运用。OBJECTIVE To explore the effect of hot and cold water alternate bladder douche to neurogenic bladder patients’ rehabilitation.METHODS Sixty neurogenic bladder patients were randomized into an observation group（n = 30）and a control group（n = 30）.Patients in the control group were received conventional bladder training,while the observation group were received conventional bladder training and a hot and cold water alternate bladder douche everyday.Build the diary of bladder douche.The intervention lasted 4 weeks,we recorded the days and number of people who received bladder training successfully,and the change of blood pressure.RESULTS The rate of people succeed in observation group was higher than control group（P﹤0.05）,and the bladder training days that the observation group used were less than that of the control group（P﹤0.05）.The change of blood pressure showed no significant differences in observation group at such time points as before the bladder douche,during the bladder douche,and after the bladder douche（P﹥0.05）.CONCLUSION Hot and cold water alternate bladder douche is more effective than conventional bladder training in neurogenic bladder patients’ rehabilitation.

关 键 词：神经源性膀胱 膀胱冲洗 间歇导尿 

分 类 号：R694[医药卫生—泌尿科学]