针灸联合康复护理促进脊髓损伤后神经源性膀胱功能恢复的效果观察  

Effect of acupuncture combined with rehabilitation nursing interventions on functional recovery of patients with neurogenic bladder after spinal cord injury

作　　者：胡兆君[1] 张婧[2] 柴园 钟梅[1] HU Zhaojun;ZHANG Jing;CHAI Yuan;ZHONG Mei(Department of Rehabilitation;Archives Office;Department of Neurology,Yichang Central People＇s Hospital,Yichang,Hubei,443003)

机构地区：[1]湖北省宜昌市中心人民医院 三峡大学第一临床医学院康复医学科,湖北宜昌443003 [2]湖北省宜昌市中心人民医院 三峡大学第一临床医学院档案室,湖北宜昌443003 [3]湖北省宜昌市中心人民医院 三峡大学第一临床医学院神经内科,湖北宜昌443003

出　　处：《中西医结合护理（中英文）》2018年第9期67-69,共3页Journal of Clinical Nursing in Practice

摘　　要：目的观察针灸联合康复护理促进脊髓损伤后神经源性膀胱功能恢复的效果。方法 54例脊髓损伤后神经源性膀胱患者分为对照组和研究组,各27例。对照组实施康复护理,研究组采用针灸联合康复护理。观察2组临床疗效,记录2组干预前后膀胱残余尿量和膀胱容量。结果研究组总有效率高于对照组(P <0. 05)。干预后,2组膀胱残余尿量减少,膀胱容量升高,且研究组膀胱残余尿量低于对照组,膀胱容量高于对照组,差异有统计学意义(P <0. 05)。结论采用针灸联合康复护理可以有效促进脊髓损伤后神经源性膀胱功能恢复,减少膀胱残余尿量。Objective To observe the effect of acupuncture combined with rehabilitation nurs- ing interventions on functional recovery of patients with neurogenic bladder after spinal cord injury. Methods Totally 54 patients with neurogenic bladder after spinal cord injury were assigned to the control group and the study group, with 27 cases in each group. Patients in both two groups received rehabilitation nursing interventions, and those in the study group were given extra acu- puncture therapy. The clinical efficacy of nursing interventions was evaluated, and the residual u- rine volume and bladder capacity were recorded. Results The overall efficacy rate in the study group was higher than that in the control group （P 〈 0.05 ）. There was a decreased residual urine volume and increased bladder capacity in both two groups after the intervention, and patients in the study group had lower residual urine volume and higher bladder capacity compared with those in the control group （ P 〈 0.05 ）. Conclusion The acupuncture combined with rehabilitation nursing interventions can reduce residual urine volume of patients and improve the neurogenic bladder recovery after spinal cord injury.

关 键 词：针灸 康复护理 脊髓损伤 神经源性膀胱 中西医结合护理 

分 类 号：R473.5[医药卫生—护理学]