早期站立综合康复对改善截瘫患者排尿功能和防治感染作用的研究

A study on the effect of early comprehensive standing training to improving the urinating function and preventing the infection of urinary system of paraplegia patients

目的观察早期站立综合康复对改善截瘫患者膀胱排尿功能和防治泌尿系感染的作用。方法24例外伤或炎症性胸腰段住院截瘫患者病情稳定即行斜床站立训练,每天按病情调整斜床的倾斜度、站立次数和站立时间。每周站立5d,疗程为3个月。结果治疗组完全性尿潴留和泌尿系感染例数明显减少(P<0.01),完全性排尿例数明显增多(P<0.01)。结论早期站立综合康复对改善截瘫患者排尿功能和防治泌尿系感染具有明显治疗作用。

Objective To observe the effect of early comprehensive standing training to improving the urinating function and preventing the infection of urinary system on paraplegia patients.Methods 24 paraplegia inpatients of thoracic and lumber level due to traumatic injury or inflammation were administrated with training on the slanting bed after their conditions were stable besides the basic clinical administration of internal medicine and surgery.The oblique angle of the slanting bed, the standing times and the period of standing were readjusted everyday according to the patients' condition.The patients stood five days a week and three months were a treatment period.Results Comparing with the control group which were admistrated with basic clinical treatment but without regular standing training after the treatment, the complete retention cases and the infection cases of urinary system were significantly reduced(P< 0.01) in the treatmentguoup.and the complete voiding cases were significantly increased(P< 0.01).Conclusion The early comprehensive standing training has a sound effect in improving the urinating function and preventing the infection of urinary system on paraplegia patients.