康复训练对脑卒中尿失禁患者排尿功能的影响

目的探讨康复训练对脑卒中尿失禁患者早期膀胱功能训练的效果。方法随机选择60例脑卒中尿失禁的住院患者，分为治疗组32例和对照组28例。对照组给予常规药物治疗、单纯行导尿或自行排尿术。治疗组给予药物治疗同对照组，并在病情稳定后即行膀胱功能康复训练。结果与对照组比较，治疗组患者残余尿量明显减少，尿失禁发病率明显下降，总有效率87．5％优于对照组57．1％，差异具有统计学意义（P〈0．01）。结论早期实施膀胱功能训练可有效促进脑卒中尿失禁患者膀胱排尿功能的恢复，提高生活质量。

THE EFFECT OF REHABILITATION TRAINING ON URINATION FUNCTION OF PATIENTS WITH STROKE AND URINARY INCONTINENCE

Objective To explore the effect of rehabilitation training on bladder function of patients with stroke and urinary incontinence. Methods 60 cases of stroke and urinary incontinence were randomly divided into the treatment group （32 cases） and the control group （28 cases）. The control group received conven- tional treatment, simple urethral catheterization or voluntary micturition. The treatment received early re- habilitation training of bladder function in addition to conventional treatment. Results Compared with the control group, the treatment group had their residual urine volume decreased significantly and the inci- dence of urinary incontinence decreased obviously, with the total effective rate of （87.5%） was higher than that （57.1%） in the control group（ P 〈0.01）. Conclusion Early function training can effectively promote the recovery of bladder function in patients with stroke and urinary incontinence, and can improve pa- tients＇ quality of life.