综合康复训练在重建脊髓损伤患者膀胱功能的临床研究

【摘要】 目的 探讨综合康复训练对促进脊髓损伤患者神经源性膀胱功能重建的临床疗效。方法〓选择71例神经源性膀胱患者,分成实验组(36例)和对照组(35例),实验组采用间歇性导尿和综合康复训练,包括Crede手法按摩、耻骨上区轻叩法、扳机点法及电针刺激法等康复训练,对照组则采用留置导尿法和综合膀胱功能训练,并进行比较两组患者疗效比较。结果〓与对照组相比,实验组的尿路感染较明显减少,膀胱容量与残余尿量亦接近正常水平。结论〓脊髓损伤患者采取神经源性膀胱的综合康复功能训练和间歇性导尿的等模式,有助于提高脊髓损伤患者的生存质量。

Clinical research on Functional Reconstruction of Bladder After SCI by Comprehensive Rehabilitation Training

【Abstract】 Objective To investigate the clinical efficacy of comprehensive rehabilitation training to functional reconstruction of neurogenic bladder after spinal cord injury. Methods〓Seventy-one patients with neurogenic bladder were divided into two groups,.the experimental group (n=36) and the control group (n=35). The patients of experimental group received intermittent catheterization and comprehensive rehabilitation training including Crede Manual Massage,.flagellation on the suprapubic region, the method of trigger point and electroacupuncture. The controls were treated by indwelling catheterization and comprehensive bladder function training. The efficacy was compared between two groups. Results〓Urinary tract infection in experimental group was lower than that in control group. The volume of bladder and residual urine level trended to normal. Conclusion〓Using comprehensive rehabilitation training and intermittent catheterization for SCI patients with neurogenic bladder are helpful to enhance SCI patient’s quality of life.