康复护理训练对神经源性膀胱功能障碍的影响  

Effect Of Rehabilitation Training And Nursing On Neurogenic Bladder Dysfunction

作　　者：欧阳好[1] 张小芒 罗军[1] 

机构地区：[1]广东医学院附属东莞厚街医院泌尿外科,广东东莞523945

出　　处：《中国伤残医学》2015年第3期49-50,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨神经源性膀胱功能障碍的康复训练及护理方法。方法：收集2008年6月-2011年6月48例入住我科的神经源性膀胱功能障碍患者，随机分为康复组30例和对照组18例。康复组采用间歇性导尿（ IC）、手法按摩及电针刺激等康复护理训练及治疗手段，对照组只采用常规的护理、间歇性导尿及留置导尿术。治疗期间定期进行尿常规检查及中段尿培养，比较2组患者尿路感染率发生情况，监测残余尿量及膀胱容量。结果：康复组患者治疗后膀胱容量有所增加，平均日排尿频率降低，残余尿量减少，排尿困难情况有明显改善，2组患者治疗前后生存质量评分及国际LUTS评分比较差异显著。结论：康复训练及护理可有效促进神经源性膀胱功能的恢复，可有效降低泌尿系统感染发生率，提高患者生存质量。Objective：To investigate the rehabilitation training and nursing method of neurogenic bladder dysfunction .Methods：From 2008 June to 2011 June 48 cases were admitted to our department of neurogenic bladder dysfunction .They were randomly divided into re-habilitation group and control group of 30 cases in 18 cases.Rehabilitation group was treated with intermittent catheterization （IC）, mas-sage and electro-acupuncture and rehabilitation training and treatment .The control group only with routine nursing , intermittent catheter-ization and indwelling catheterization .During the period of treatment of urinalysis and urine culture , compared 2 groups of patients with u-rinary tract infection occurrence , monitoring the residual urine volume and bladder capacity .Results：After the end of treatment , the reha-bilitation group patients showed bladder capacity being increased , average daily micturition frequency being decreased , residual urine vol-ume being reduced , The situation of difficulty in urination had improved significantly .2 groups of patients before and after treatment , quality of life scores and international LUTS scores are significantly different .Conclusions：Rehabilitation training and nursing not only can effectively promote the recovery of neurogenic bladder function , but also can effectively reduce the incidence of urinary system infection , improve the quality of life of patients .

关 键 词：神经源性膀胱( NEUROGENIC bladder  NB) 康复训练 护理 

分 类 号：R471[医药卫生—护理学]