摘要
目的:探讨早期膀胱康复训练对脊髓挫伤致尿失禁患者排尿功能的影响。方法:将74例脊髓挫伤致尿失禁患者随机分为常规护理组与康复训练组各37例。常规护理组给予常规护理,康复训练组在常规护理的基础上给予留置导尿管,3d后夹管,定时按摩膀胱,并使患者进行有意识地排尿活动训练,膀胱功能康复训练3周后,膀胱充盈时在按摩下拔除导尿管,并嘱患者多饮水保持每天尿量在2500ml以上。结果:康复训练组比常规护理组留置导尿管时间明显缩短、尿路感染发生率明显降低(P<0.01)。结论:早期膀胱康复训练可有效恢复脊髓挫伤致尿失禁患者的排尿功能,值得临床推广应用。
Objective： To explore the effect of early rehabilitation exercise of bladder function on the urination function of patients with urinary incontinence caused by spinal cord injury. Methods： Seventy four patients with urinary incontinence caused by spinal cord injury were randomly divided into nursing group （ n = 37 ） and exercise group （ n = 37 ）. Routine nursing care was taken in nursing group and indwelling urethral catheter was used based on the routine nursing care in exercise group. Indwelling urethral catheter was clipped 3 days later and timing massage for bladder was applied, and the patients were helped to have exercise of emiction consciously. After the exercise for 3 months, indwelling urethral catheter was removed at the time when bladder was in filling status and massaged, and then the patients were told to drink much water and keep the amount of urine micturated in volume of 2500ml. Results： Indwelling time of urethral catheter was evidently shorter and the incidence of urinary tract infection was less in exercise group than that in nursing group （P〈0.01 ）. Conclusion： Early rehabilitation exercise of bladder function is very effective in the restoration of urination function of patients with urinary incontinence caused by spinal cord injury and the method can be widely used in clinical practice.
出处
《齐鲁护理杂志》
2007年第18期7-8,共2页
Journal of Qilu Nursing
关键词
脊髓挫伤
尿失禁
膀胱康复训练
排尿功能
Spinal cord injury
Urinary incontinence
Rehabilitation exercise of bladder function
Urination function
