脊髓损伤自主性神经源性膀胱患者导尿间歇判断方法的比较研究

Comparative study on different method judging catheterization intermittent for patients with neurogenic bladder and spinal injury

目的研究脊髓损伤自主性神经源性膀胱患者的导尿间歇判断方法,为合理选用导尿间歇判断法提供依据。方法选取脊髓损伤患者72例,按入院顺序分为对照组40例和观察组32例,对照组用残余尿量判断法,观察组用膀胱尿量判断法。用世界卫生组织生存质量测定量表测定两组实验前及实验后2个月的生存质量,监测两组实验后2个月的膀胱功能。结果生存质量量表的生理领域和心理领域分值、总健康状况评分与总生活质量评分,观察组较对照组明显提高,膀胱功能观察组好于对照组。结论脊髓损伤自主性神经源性膀胱患者导尿间歇判断以膀胱尿量判断法为好。

Objective To study the judging method of catheterization intermittent for patients with neurogenic 51adder and spinal injury to provide evidence for find out appropriate catheterization intermittent. Method Divide 72 patients with spinal injury into control group （n=40） and observation group （n=32） according to hospitalization order. Judge catheter- ization intermittent by residual urine volume for control group and by urine volume method for observation group. Assess patients＇ quality of life before and 2 months after experiment by World Health Organization＇s Quality of Life （WHOQOL）. Monitor bladder function of two groups 2 months after experiment. Result Scores of physical and mental, general health and general quality of life from WHOQOL are obviously higher in observation group. Function of bladder of observation group is better than control group. Conclusion Urine volume judgment is a better method for judging catheterization inter- mittent for patients with neurogenic bladder and spinal injury.