早期膀胱功能训练对脊髓损伤患者膀胱功能恢复的影响

目的探讨早期膀胱功能训练对脊髓损伤患者膀胱功能恢复影响。方法纳入临床确诊的脊髓损伤患者40例,按照随机数字表法将入组对象分成对照组与观察组,每组均20例,对照组采用常规综合治疗,观察组在对照组基础上采用叩击法排尿训练,对比两组治疗后临床疗效、24小时排尿次数、留置导尿时间、膀胱恢复情况(膀胱容量、残余尿量)、尿路感染发生率、住院天数、生活质量评分、感觉评分的差异。结果(1)对照组临床有效率为75.0%,而观察组临床有效率明显升高,其有效率为95.0%,差异有统计学意义(P=0.027)。(2)与对照组比较,观察组留置导尿时间、尿路感染发生率、膀胱残余尿量、24小时排尿次数均降低,而膀胱容量明显增加,差异有统计学意义(均P<0.05)。(3)与对照组比较,观察者住院天数明显下降,而生活质量评分、感觉评分明显升高,差异有统计学意义(均P<0.01)。结论早期膀胱功能训练可有效促进脊髓损伤患者膀胱功能恢复,显著改善生活质量,减少并发症的发生,提高临床治疗效果。

The Effect of Early Bladder Function Training on Bladder Function Recovery in the Patients With Spinal Cord Injury

Objective To investigate the effect of early bladder function training on bladder function recovery in the patients with spinal cord injury.Methods 40 patients with spinal cord injury were selected for the study.The patients with spinal cord injury were divided into the observation group(n=20)and the control group(n=20)according to the random number table method.The control group was treated by conventional comprehensive treatment,and the observation group was treated by percussive urination on the basis of the control group.The clinical curative effect,the frequency of urination within 24 hours,duration of indwelling catheter,bladder recovery(bladder volume,residual urine volume),incidence of urinary tract infection,length of hospitalization days,quality of life score and sensory score were compared between two groups.Results(1)The clinical effective rate of the control group was 75.0%,while that of the observation group was significantly increased(95.0%),the difference was statistically significant(P=0.027).(2)Compared with the control group,the duration of indwelling catheter,incidence of urinary tract infection,residual urine volume of the bladder and the frequency of urination within 24 hours in the observation group were decreased,while the bladder volume was significantly increased(P<0.05).(3)Compared with the control group,the length of hospitalization was significantly decreased,while the quality of life score and sensory score were significantly increased,and the differences were statistically significant(P<0.01).Conclusion Early bladder function training can effectively promote the recovery of bladder function,significantly improve the quality of life,reduce the incidence of complications and improve the clinical treatment effect on the patients with spinal cord injury.