体神经-内脏神经反射弧膀胱功能重建术的护理

Nursing Care of Somatic Nerve-splanchnic Nerve Reflex Arc Bladder Function Remodelling

目的解决脊髓损伤等病人排尿障碍。方法采用截瘫平面以下的废用神经 ,行体神经 -内脏神经反射弧膀胱功能重建术 34例。术前加强心理护理及术前准备工作 ;术后密切观察病情 ,积极预防并发症 ,加强健康指导。结果术后经过 8～ 12个月随访 ,病人实现可控性排尿 12例 ,其余病人尿流动力学指标均不同程度得到恢复。结论体神经 -内脏神经反射括弧膀胱功能重建术可使中枢性疾患所致排尿障碍病人实现可控性排尿 。

Objective To treat urinary dysfunction of the patients with spinal injury.Methods By using the disuse nerves under the paraplegic plane, somatic nerve splanchnic nerve reflex arc bladder function remodelling was performed in 34 cases. Mental nursing and preparation before operation, and detailed observation on the disease condition and prevention of complications after operation were strengthened.Results Postoperative follow up lasted 8 to 12 months. Twelve patients obtained controllable emiction and the remaining recovered to some extent in the urodynamic parameters.Conclusion Somatic nerve splanchnic nerve reflex arc bladder function remodelling could make the patient obtain controlled emiction and good nursing care could promote the recovery of the patients.