膀胱容量扫描仪结合医护患一体化管理模式对神经源性膀胱功能恢复的影响  

Effect of bladder volume scanner and integrated physician-nurse-patient management mode on the recovery of neurogenic bladder function

作　　者：鄢茵[1] 徐珍[2] 童华章[3] 管细红[4] YAN Yin;XU Zhen;TONG Hua-zhang;GUAN Xi-hong(Department of Rehabilitation Medicine,the First Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China;Department of Infectious Diseases,the First Affiliated Hospital of Nanchang University,JiangxiProvince,Nanchang330006,China;Department of Oncology,Jiangxi Provincial People′s Hospital,Nanchang330006,China;Remote Consultation Center,Jiangxi Provincial People′s Hospital,Nanchang330006,China)

机构地区：[1]南昌大学第一附属医院康复医学科,江西南昌330006 [2]南昌大学第一附属医院感染科,江西南昌330006 [3]江西省人民医院肿瘤内科,江西南昌330006 [4]江西省人民医院远程会诊中心,江西南昌330006

出　　处：《中国当代医药》2020年第34期34-37,共4页China Modern Medicine

基　　金：江西省重点研发计划项目(20181BBG78040)。

摘　　要：目的探讨膀胱容量扫描仪结合医护患一体化管理模式对脊髓损伤患者膀胱功能恢复的影响。方法选取2017年6月~2019年6月南昌大学第一附属医院收治的120例脊髓损伤伴神经源性膀胱患者,采用随机数字表法分为试验一组、试验二组、试验三组和对照组,每组各30例。四组均实行饮水计划、间歇导尿和膀胱功能再训练方法等常规治疗。对照组采取常规治疗;试验组在常规治疗的基础上,一组采取膀胱容量扫描仪;二组采取医护患一体化管理模式治疗;三组采取膀胱容量扫描仪结合医护患一体化管理模式治疗。干预周期为3个月。干预前后观察比较四组的膀胱残余尿量、泌尿系统检查结果、膀胱功能恢复时间,并比较四组的治疗效果。结果干预后,三个试验组的残余尿量均少于对照组,差异有统计学意义(P<0.05);试验三组有1例患者发生尿路感染,尿路感染率低于对照组(χ^2=7.680,P=0.006),试验一组、试验二组各有4例发生尿路感染,与对照组比较,差异无统计学意义(P>0.05);试验三组的首次反射排尿时间最短,与其他各组比较,差异有统计学意义(P<0.05);膀胱功能的重建时间试验三组与其他各组比较,差异有统计学意义(P<0.05)。结论膀胱容量扫描仪治疗脊髓损伤伴神经源性膀胱功能障碍患者,可缩短膀胱功能恢复时间,在降低泌尿系统感染有明显优势;膀胱容量扫描仪结合医护患一体化管理模式效果更优,值得临床推广。Objective To explore the effect of bladder volume scanner combined with integrated physician-nurse-patient management mode on the recovery of bladder function in patients with spinal cord injury.Methods From June 2017 to June 2019,120 patients with spinal cord injury accompanied by neurogenic bladder damage who were admitted to the First Affiliated Hospital of Nanchang University were selected and divided into the experimental group one,the experimental group two,the experimental group three and the control group by random number table method,30 cases in each group.Routine treatments such as drinking water plan,intermittent catheterization and bladder function retraining were performed in all groups.In the control group,routine treatment was used;in the experimental group one,a bladder volume scanner was added;in the experimental group two,integrated physician-nurse-patient management mode was added;in the experimental group three,a bladder volume scanner combined with an integrated physician-nurse-patient management mode was adopted.The intervention lasted three months.Before and after intervention,the residual urine volume of the bladder,the results of urinary system examination,and the recovery time of bladder function were observed and compared in the four groups.The treatment effect of the four groups were also analyzed and compared.Results After intervention,the residual urine volume of patients in the three experimental groups was less than that in the control group,and the difference was statistically significant(P<0.05).Only one patient in the experimental group three had urinary tract infection,and the rate of urinary tract infection was lower than that of the control group(χ2=7.680,P=0.006).Both 4 cases presented with urinary tract infection in the experimental group one and experimental group two.Compared with the control group,the difference was not statistically significant(P>0.05).The first reflex urination in the experimental group three was shortest,compared with other groups,and the difference

关 键 词：膀胱容量扫描仪 医护患一体化管理模式 脊髓损伤 膀胱功能 

分 类 号：R651.2[医药卫生—外科学]