热敏灸护理在神经源性膀胱机能障碍患者中的应用效果  

Application effect of heat-sensitive moxibustion nursing in patients with neurogenic bladder dysfunction

作　　者：吴菊霞 喻艳秋 吴梅娜 WU Juxia;YU Yanqiu;WU Meina(Department of Integrated Traditional Chinese and Western Medicine Rehabilitation,Affiliated Rehabilitation Hospital of Nanchang University,Jiangxi Province,Nanchang 330003,China)

机构地区：[1]南昌大学附属康复医院中西医结合康复科,江西南昌330003

出　　处：《中国当代医药》2025年第11期170-174,共5页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2022B102)。

摘　　要：目的研究热敏灸护理在神经源性膀胱机能障碍患者中的应用效果。方法选取2022年7月至2024年7月南昌大学附属康复医院收治的60例神经源性膀胱机能障碍患者作为研究对象,采用随机数字表法分为研究组(n=30)和对照组(n=30)。两组患者均以常规导尿技术行间歇性导尿治疗,对照组应用常规护理措施,研究组同时行热敏灸护理措施。比较两组尿潴留症状改善效果、残余尿量及膀胱容量、护理后膀胱平衡状态比例、尿残渣定量检查结果及尿动力学指标。结果研究组的尿潴留症状改善有效率高于对照组,差异有统计学意义(P<0.05);护理后,研究组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);护理后,研究组膀胱平衡状态患者比例高于对照组,差异有统计学意义(P<0.05);护理后两组尿沉渣中白细胞数量检查结果比较,差异无统计学意义(P>0.05);护理后,研究组膀胱顺应性、最大膀胱容积、最大尿道压高于对照组,充盈期逼尿肌压力低于对照组,差异有统计学意义(P<0.05)。结论热敏灸护理在神经源性膀胱机能障碍患者间歇性导尿术治疗中的应用能有效促进患者尿潴留症状的改善,有利于患者膀胱功能的康复,帮助患者膀胱状态保持平衡的同时积极改善患者尿动力学指标。Objective To study the application effect of heat-sensitive moxibustion nursing in patients with neurogenic bladder dysfunction.Methods A total of 60 patients with neurogenic bladder dysfunction admitted to Affiliated Rehabilitation Hospital of Nanchang University from July 2022 to July 2024 were selected as the study objects and they were divided into study group(n=30)and control group(n=30)by random number table method.The patients in both groups received intermittent catheterization with conventional catheterization technology,the control group received routine nursing measures,and the study group received heat-sensitive moxibustion nursing measures at the same time.The improvement effect of urinary retention symptoms,residual urine volume and bladder volume,proportion of bladder balance after nursing,quantitative examination results of urinary residue and urodynamic indexes were compared between the two groups.Results The improvement efficiency of urinary retention symptoms in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).After nursing,the residual urine volume of the study group was lower than that of the control group,and the bladder volume was higher than that of the control group,the differences were statistically significant(P<0.05).After nursing,the proportion of patients with bladder balance in the study group was higher than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the number of white blood cells in urine sediment between the two groups after nursing(P>0.05).After nursing,the bladder compliance,maximum bladder volume and maximum urethral pressure of the study group were higher than those of the control group,and the detrusor pressure during filling was lower than that of the control group,with statistical significances(P<0.05).Conclusion The application of heat-sensitive moxibustion nursing in the treatment of intermittent catheterization in patients with ne

关 键 词：神经源性膀胱机能障碍 间歇性导尿 热敏灸 膀胱平衡 尿沉渣 尿动力学 

分 类 号：R694[医药卫生—泌尿科学]