综合康复护理对神经源性膀胱功能重建的临床价值

目的探讨综合康复护理对神经源性膀胱功能重建的临床价值。方法选取本院2011年3月～2012年5月收治的神经源性膀胱功能重建患者83例，随机分为两组，41例患者采用常规护理为对照组，42例患者采用综合康复护理为观察组。比较两组患者护理干预后的膀胱容量、残余尿量、并发症情况。结果拔管时，观察组膀胱容量明显大于对照组，残余尿量明显小于对照组。间歇性导尿1个月后，观察组膀胱容量明显大于对照组，残余尿量明显小于对照组，两组的膀胱容量均明显升高，残余尿量均明显减小。观察组并发症发生率（11．9％）明显低于对照组（34．1％），两组间比较，差异均有统计学意义（P〈0．05）。结论综合康复护理可以有效改善神经源性膀胱功能重建患者的临床指征，增加膀胱容量，减少残余尿量，并发症的发生率较低，在改善患者生存质量方面具有显著的临床价值。

Clinical value on neurogenic bladder function reconstruction by comprehensive rehabilitation nursing

Objective To investigate the clinical value on neurogenic bladder function reconstruction by comprehensive rehabilitation nursing. Methods Eighty-three cases of patients with neurogenic bladder function reconstruction were selected in the hospital from March 2011 to May 2012, who were divided into two groups randomly. 41 patients were given routine nursing as control group; 42 patients were given comprehensive rehabilitation nursing as observation group. Bladder capacity, residual urine volume, complications were compared between the two groups after intervention. Results When the tube was pulled out, bladder capacity in observation group was significantly higher than that of control group, while residual urine volume in observation group was significantly less than the control group. After intermittent catheterization for one month, bladder capacity in observation group was significantly higher than that of control group, while residual urine volume in observation group was significantly less than that of control group. Bladder capacity in observation group and control group was significantly increased, while residual urine volume in observation group and control group were significantly reduced. The rate of complication in observation group （11.9%） was significantly lower than that of control group （34.1%）. The differences were all statistically significant （P 〈 0.05）. Conclusion Comprehensive rehabilitation nursing can effectively improve the clinical indications of patients with neurogenic bladder function reconstruction, which can increase bladder capacity and reduce residual urine volume. The incidence of complications is low. That has significant clinical value on improving life quality of patients.