摘要
目的探讨康复护理对脊髓损伤后神经源性膀胱患者功能恢复的影响。方法选取2011年1～12月期间收治的脊髓损伤后神经源性膀胱患者90例,随机将患者分成干预组和对照组,每组45例。对照组患者给予常规护理,干预组加用康复护理干预方案,并分别对两组患者的膀胱功能恢复情况和临床指标改善情况进行比较分析。结果与对照组患者相比,干预组患者膀胱功能恢复为Ⅰ级的比率显著提高,而为Ⅲ级的比率则显著降低,且差别均具有统计学意义(P<0.05)。与此同时,与对照组患者相比,干预组患者自主排尿时间明显缩短,同时发生肾功能损害、尿路感染、泌尿系造影异常的人数均明显减少,差别均具有统计学意义(P<0.05)。结论康复护理对于脊髓损伤后神经源性膀胱患者功能恢复具有极其重要的辅助治疗价值,应进一步的推广和应用。
Objective To probe into the effect of rehabilitative care for the function recovery of pa- tients with neurogenic bladder after spinal cord injury. Methods Selected January 2011 to December 2011, 90 patients with neurogenic bladder after spinal cord injury in our hospital. The patients were di- vided into intervention group and control group randomly, there were 45 cases in each group. The pa- tients in control group were treated with conventional care. The patients in intervention group were trea- ted with rehabilitation nursing intervention programs. Compared and analysis the situations of bladder function recovery and clinical indicators of patients in two group. Results Compared with control group, patients intervention group in the grade I rate of recovery of bladder function was significantly improved, and the grade III rate was significantly reduced, there were statistically significant （P 〈0.05）. At the same time, compared with control group, patients intervention group self--voiding time was significantly shortened, while the occurrence of renal dysfunction, urinary tract infection, the number of abnormal urography were significantly reduced, there were statistically significant （P 〈 0.05）. Conclusions Re- habilitative care has an extremely important value of adjuvant therapy for functional recovery of patients with neurogenic bladder after spinal cord injury. It needs further promotion and application.
出处
《齐齐哈尔医学院学报》
2012年第20期2845-2846,共2页
Journal of Qiqihar Medical University
关键词
康复护理
脊髓损伤
神经源性膀胱
Rehabilitative care Spinal cord injury Neurogenic bladder
