创伤性截瘫术后尿潴留的临床护理

Clinical care of traumatic paraplegia with postoperative urinary retention

目的探讨创伤性截瘫术后尿潴留的临床护理方法及疗效。方法以本院2008年4月～2012年7月收治的30例创伤性截瘫伴有尿潴留的患者为研究对象,针对脊髓休克期和脊髓功能恢复期的特点,给予不同的护理方法。护理结束后,对各时期的护理效果进行评价。结果护理结束后,除脊髓完全损伤患者以外,所有患者的痊愈率、有效率均较为理想,总有效率为96.7%。此外,脊髓休克期内护理2、4周后患者导尿后的尿残余量显著减少,与护理前相比,差异有统计学意义(P<0.01)。脊髓功能恢复期内护理2周和1个月后,所有患者自主排尿后的尿残余量与护理前相比,差异有统计学意义(P<0.01)。结论脊髓休克期和脊髓恢复期内对创伤性截瘫术后尿潴留患者进行合理护理,能够有效改善患者的膀胱功能。

Objective To explore the clinical care means for the traumatic paraplegia patients with urinary retention and evaluate the clinical efficacy of nurse. Methods 30 cases of traumatic paraplegia patients in our hospital from April 2008 to July 2012 were selected as study objects, all patients were given different nurse-care based on the characteristics of the phase of spinal shock and spinal cord function recovery. Evaluated the effect of the nurse methods at the end of care. Results After nurse finished, besides spinal cord injury patients, the cure rate and effective rate of all patients was desirable, the total efficiency rate was 96.7%. In addition, the residual amount of urinary was decreased after 2 and 4 weeks care during the spinal shock period, and there was significant difference （ P 0.01）. The amount of residual urinary after 22 weeks and 1 month care was decreased obviously compared with that before care during the period of spinal cord function recovery, and there was significant difference （ P 0.01）. Conclusion Take some reasonable measures for the patients with traumatic paraplegia and urinary retention can improve the patient＇s bladder function effectively.