膀胱扫描仪在测定神经源性膀胱患者残余尿量中的应用效果研究

Study on the Effect of Bladder Scanner in Measuring Residual Urine Volume in Patients with Neurogenic Bladder

目的:探讨神经源性膀胱患者在治疗期间应用膀胱扫描仪测定残余尿量的效果,以指导康复干预方案的制定。方法:选取2021年1月—2023年1月新余市人民医院收治的80例神经源性膀胱患者,按照随机数表法将其分对照组和观察组,每组各40例。对照组采用B超技术测定残余尿量,观察组采取膀胱扫描仪测定残余尿量。对比两组患者病情控制、康复满意度、并发症发生率、膀胱冲洗时间、导尿管留置时间、疼痛消失时间、住院总时间、膀胱功能、干预前后疼痛程度和心理状态、炎症反应相关指标情况。结果:观察组患者治疗总有效率、康复满意度高于对照组,差异有统计学意义(χ^(2)=6.050、7.314,P<0.05);观察组患者并发症发生率低于对照组,差异有统计学意义(χ^(2)=7.314、4.507、5.636,P<0.05);观察组患者膀胱冲洗时间、导尿管留置时间、疼痛消失时间、住院总时间短于对照组,差异有统计学意义(t=6.874、12.641、48.472、35.096,P<0.05);观察组患者膀胱功能优于对照组,差异有统计学意义(χ^(2)=5.636,P<0.05);干预后,观察组患者心理状态和疼痛程度、炎症反应相关指标均低于对照组,差异有统计学意义(t=46.181、52.595、32.763、19.982、8.901、26.996,P<0.05)。结论:在制定神经源性膀胱患者康复干预方案时,以膀胱扫描仪测定的残余尿量结果作为依据,可以减轻患者痛苦,改善膀胱功能,减少并发症的发生,使患者保持良好心态,缩短治疗时间,同步提升治疗效果及康复满意度。

Objective:To study the clinical value of using a bladder scanner to measure residual urine volume during treatment in patients with neurogenic bladder,in order to guide the development of rehabilitation intervention plans.Methods:80 patients with neurogenic bladder from Jan.2021 to Jan.2023 were randomly divided into two groups with random number table.The control group was measured for residual urine volume using B-ultrasound technology.The observation group used a bladder scanner to measure residual urine volume.The effectiveness of disease control,satisfaction with rehabilitation intervention plans,incidence of complications,catheter retention time,pain disappearance time,total hospitalization time,bladder function,psychological status and pain score before and after rehabilitation intervention,and inflammatory response related indicators between the two groups were compared.Results:The total effective rate and rehabilitation satisfaction of the observation group were higher than those of the control group,and the difference was statistically significant(χ^(2)=6.050,7.314;P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(χ^(2)=7.314,4.507,5.636;P<0.05).Bladder irrigation time,catheter indentation time,pain disappearance time and total hospital stay in observation group were shorter than those in control group,with statistically significant difference(t=6.874,12.641,48.472,35.096;P<0.05).The bladder function of the observation group was better than that of the control group,and the difference was statistically significant difference(χ^(2)=5.636,P<0.05).After intervention,the psychological state,pain degree and inflammatory response related indexes in the observation group were lower than those in the control group,with statistically significant difference(t=46.181,52.595,32.763,19.982,8.901,26.996;P<0.05).Conclusion:During the treatment period,patients with neurogenic bladder can use a bladder scanner to measure residual urine volume to guide the development of rehabilitation intervention plans.This can alleviate patient pain,improve bladder function,reduce complications,maintain good mentality,shorten treatment and rehabilitation time,and synchronously improve treatment effectiveness and satisfaction.