脊髓损伤患者膀胱功能的早期康复训练及效果分析

目的:研究脊髓损伤患者膀胱功能的早期康复训练的效果。方法:选择脊髓损伤伴排尿功能障碍的患者并随机分为观察组(伤后4周给予膀胱功能康复训练)和对照组(伤后8周给予膀胱功能康复训练),观察排尿功能指标,检测血清中神经细胞因子含量。结果:观察组患者的排尿次数、最大排尿量、残余尿量、出现初始尿意和强烈尿意时的膀胱容量均明显少于对照组,差异有统计学意义(t=5.963,t=6.352,t=7.214,t=6.896,t=6.752;P<0.05);血清NGF、NTF及BDNF含量均明显多于对照组,差异有统计学意义(t=6.821,t=5.273,t=8.832;P<0.05)。结论:脊髓损伤后早期康复训练能够有效改善膀胱功能,具有一定的临床价值。

Research on early rehabilitation training and effect analysis of bladder function in patients with spinal cord injury

Objective：To explore the effects of early rehabilitation training of bladder function in patients with spinal cord injury.Methods：Spinal cord injury patients were randomly assigned into observation group who were given rehabilitation training for 4 weeks after the injury and control group who were given rehabilitation training for 8 weeks after the injury.We observed uinary function indexes and serum cytokine levels.Results：Frequency of urination,residual urine volume,initial and strong urinary bladder capacity of observation group were significantly less than control group（t=5.963,t=6.352,t=7.214,t=6.896,t=6.752;P0.05）.Maximum urinary output and serum NGF,NTF,BDNF were obviously higher than control group（t=6.821,t=5.273,t=8.832;P0.05）.Conclusion：Early rehabilitation training after spinal cord injury has positive clinical value for improving bladder function.