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膀胱扳机点叩击结合康复治疗重建脊髓损伤后反射性膀胱的临床护理
引用本文:巨宝兰,杨艳平,王钏,卜国云.膀胱扳机点叩击结合康复治疗重建脊髓损伤后反射性膀胱的临床护理[J].江苏临床医学杂志,2013(20):59-61.
作者姓名:巨宝兰  杨艳平  王钏  卜国云
作者单位:解放军总医院第一附属医院骨科,北京100048
基金项目:解放军总医院科技创新苗圃基金项目(12KMMl8)
摘    要:目的对脊髓损伤患者在住院期间训练反射性膀胱,提高截瘫患者生活自理能力。方法对132例截瘫患者分阶段,联合应用无菌间歇导尿、膀胱区脉短波及针灸治疗,为患者训练反射性膀胱。结果132例截瘫患者以积极乐观的情绪配合治疗,均在4周内恢复自主排尿,无并发症出现。结论训练反射性膀胱对脊髓损伤患者的康复具有积极作用,值得临床推广应用。

关 键 词:扳机点  脊髓损伤  反射性膀胱  临床护理

Clinical nursing for spinal cord injury patients treated with combination treatment of percussion on bladder trigger point and rehabilitation training in reconstruction of reflex bladder
JU Baolan,YANG Yanping,WANG Chuan,BU Guoyun.Clinical nursing for spinal cord injury patients treated with combination treatment of percussion on bladder trigger point and rehabilitation training in reconstruction of reflex bladder[J].Journal of Jiangsu Clinical Medicine,2013(20):59-61.
Authors:JU Baolan  YANG Yanping  WANG Chuan  BU Guoyun
Institution:( Department of Orthopedics, The First Affiliated Hospital of General Hospital of People's Liberation Army, I3eijing, 100048)
Abstract:Objective To training the reflex bladder function of patients with spinal cord injury in duration of hospital stay and improve the abilities to care for themselves in patients with paraplegina. Methods The combination treatment of sterile intermittent catheterization, short- wave and acupuncture was used to reconstruct the reflex bladder in 132 paraplegia patients during hospitalization. Results All the patients responded well to the treatment, and automatic micturi- tion was recovered within 4 weeks and no complications were observed. Conclusion Training of reflex bladder plays a positive role in the rehabilitation of patients with spinal cord injury, so it is worthy of clinical application and popularization.
Keywords:trigger point  spinal cord injury  reflex bladder  clinical nursing
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