间歇清洁导尿联合综合康复干预对脊髓损伤神经源性膀胱患者排尿困难症状及膀胱功能的影响

Effect of Intermittent Cleaning Catheterization Combined with Comprehensive Rehabilitation Intervention on Symptoms of Dysuria and Bladder Function in Patients with Neurogenic Bladder after Spinal Cord Injury

目的分析间歇清洁导尿联合综合康复干预对脊髓损伤神经源性膀胱患者排尿困难症状及膀胱功能的影响.方法选取我院2021年3月—2022年3月收治的78例脊髓损伤神经源性膀胱患者为研究对象,根据随机数字表法分为两组.对照组(n=39)采用间歇清洁导尿,观察组(n=39)在对照组基础上联合综合康复干预.比较两组患者干预前后排尿困难症状、膀胱功能以及并发症发生率.结果干预2个月后,观察组排尿次数、单次排尿量均多于对照组,膀胱内压力高于对照组,组间差异有统计学意义(P<0.05).干预2个月后,观察组最大排尿量多于对照组,残余尿量少于对照组,组间差异有统计学意义(P<0.05).观察组干预期间并发症发生率低于对照组,差异有统计学意义(P<0.05).结论临床针对脊髓损伤神经源性膀胱患者实施间歇清洁导尿联合综合康复干预,能够有效缓解排尿困难症状,改善膀胱功能,降低并发症发生率.

Objective To analyze the effect of intermittent cleaning catheterization combined with comprehensive rehabilitation intervention on symptoms of dysuria and bladder function in patients with neurogenic bladder after spinal cord injury.Methods 78 patients with neurogenic bladder after spinal cord injury admitted to the hospital from March 2021 to March 2022 were selected as the research objects and divided into two groups according to the random number table method.The control group(n=39)received intermittent cleaning catheterization,and the observation group(n=39)received comprehensive rehabilitation intervention on the basis of the control group.The symptoms of dysuria,bladder function before and after intervention and incidence of complications were compared between the two groups.Results After 2 months of intervention,the number of urination and single urination volume of the observation group were more than those of the control group,and the pressure in the bladder was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05).After 2 months of intervention,the maximum urination volume of the observation group was more than that of the control group,and the residual urine volume was less than that of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications during intervention in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Clinical implementation of intermittent cleaning catheterization combined with comprehensive rehabilitation intervention for patients with neurogenic bladder after spinal cord injury can effectively relieve symptoms of dysuria,improve bladder function,and reduce the incidence of complications.