分段定压膀胱功能训练在脊髓损伤伴神经源性膀胱患者康复护理中的应用  

Application of Stage Constant Pressure Bladder Function Training in Rehabilitation Nursing of Patients with Spinal Cord Injury and Neurogenic Bladder

作　　者：王孟杰 张伟宏[1] 刘娟娟[2] 谭微[2] 陈星运 Wang Mengjie;Zhang Weihong;Liu Juanjuan(School of Nursing and Health,Zhengzhou University,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州大学护理与健康学院,河南郑州450000 [2]洛阳市中心医院康复医学科,河南洛阳471000

出　　处：《黑龙江医学》2025年第1期104-107,共4页Heilongjiang Medical Journal

基　　金：河南省医学科技攻关计划项目(LHGJ2019083)。

摘　　要：目的:探讨分段定压膀胱功能训练在脊髓损伤伴神经源性膀胱患者康复护理中的应用。方法:采用方便抽样法选取2023年2月—2024年2月样本医院收治的72例SCI伴神经源性膀胱患者作为研究对象,按随机数表法将其分为对照组(n=36)、观察组(n=36)。对照组接受常规膀胱功能训练,观察组接受分段定压膀胱功能训练,统计两组患者膀胱疗效、尿动力指标、重建膀胱功能,并分别于干预2周、4周、6周、8周时记录患者尿路感染情况。结果:观察组患者膀胱疗效总有效率高于对照组,差异有统计学意义(χ^(2)=4.181,P<0.05)。干预后,观察组患者膀胱最大容量、排尿膀胱压力高于对照组,残余尿量低于对照组,差异均有统计学意义(t=3.765、3.065、11.595,P<0.05)。干预后,观察组患者平均单次排尿量高于对照组,日均排尿次数、日均漏尿次数均低于对照组,自主排尿时间短于对照组,差异均有统计学意义(t=22.298、2.998、9.824、16.778,P<0.05)。结论:分段定压膀胱功能训练在脊髓损伤伴神经源性膀胱患者康复护理中应用具有一定优势,可提高膀胱疗效总有效率,改善尿动力指标和重建膀胱功能,降低尿路感染率。Objective:To investigate the application of segmental constant pressure bladder function training in rehabilitation nursing of patients with spinal cord injury and neurogenic bladder.Methods:A total of 72 patients with spinal cord injury with neurogenic bladder admitted to the hospital from February 2023 to February 2024 were selected by convenient sampling method,and they were divided into control group(n=36)and observation group(n=36)according to random number table method.The control group received routine bladder function training,while the observation group received segmental constant pressure bladder function training.Bladder efficacy,urinary motility index and bladder function reconstruction were counted in the two groups,and urinary tract infection rate was recorded in 2,4,6 and 8 weeks of intervention,respectively.Results:The total effective rate of bladder efficacy in observation group was higher than that in control group,and the difference was statistically significant(χ^(2)=4.181,P<0.05).After intervention,the maximum bladder volume and urinary bladder pressure in the observation group were higher than those in the control group,and the residual urine volume was lower than those in the control group,with statistically significant difference(t=3.765,3.065,11.595;P<0.05).After the intervention,the average single urination volume in the observation group was higher than that in the control group,the average daily urination frequency and average daily urine leakage frequency were lower than that in the control group,and the autonomous urination time was shorter than that in the control group,with statistically significant difference(t=22.298,2.998,9.824,16.778;P<0.05).Conclusion:The application of segmental constant pressure bladder function training in rehabilitation nursing of patients with spinal cord injury and neurogenic bladder has certain advantages,which can improve the total effective rate of bladder efficacy,improve urinary motility index and rebuild bladder function,and reduce urinary tract i

关 键 词：脊髓损伤 神经源性膀胱 分段定压膀胱功能训练 康复护理 

分 类 号：R493[医药卫生—康复医学]