间歇导尿联合饮水计划治疗脑卒中后尿潴留的临床观察

Clinical Observation on Intermittent Water-drinking Plan in Post-stroke Patients with Urinary Retention

目的:探讨间歇导尿联合饮水计划对脑卒中后尿潴留患者膀胱功能恢复的积极影响。方法:将本院康复科及神经内科治疗脑卒中后尿潴留患者80例按随机数字表法分为对照组40例和试验组40例。对照组实行留置导尿,自行饮水及常规康复护理。试验组进行间歇导尿,制定饮水计划及常规康复护理。治疗6周后比较两组患者治疗前后膀胱残余尿量、治疗后尿路感染例数及达到平衡膀胱的例数。结果:6周后与对照组相比,试验组患者膀胱残余尿量减少,尿路感染人数减少,达到平衡膀胱的人数增多,两组比较差异有统计学意义(P<0.05)。结论:间歇导尿联合饮水计划对脑卒中后尿潴留患者恢复膀胱功能和重建自主排尿功能具有积极的意义。

Objective： To investigate the positive effects of intermittent catheterization combined with drinking plan on the recovery of urinary retention of bladder function after stroke survivors. Method： In department of rehabilitationand department of neurology in our hospital in the treatment of stroke with urinary retention 80 patients were randomly divided to control group（40 cases） and experimental group（40 cases）. The control group was given indwelling catheter and self drinking water and conventional rehabilitation nursing. The experimental group was given intermittent catheterization and developed a plan of drinking water and conventional rehabilitation nursing. After 6 weeks, the residual urine volume, urinary tract infection, and the number of cases of balanced bladder were compared between the two groups before and after treatment. Result： After 6 weeks, compared with the control group, the residual urine volume of patients in the experimental group was reduced, the number of urinary tract infections was less, the number of balanced bladder increased, the two groups had statistical difference（P0.05）. Conclusion： Intermittent catheterization combined with drinking plan for the reconstruction and recovery of bladder function in patients with urinary retention after stroke have positive significance.