膀胱扫描仪在测定SCI神经源性膀胱患者残余尿中的应用

Application of bladder scanner in the determination of residual urine in patients with neurogenic bladder after SCI

目的探讨膀胱扫描仪在测定SCI神经源性膀胱患者残余尿中的应用效果。方法选取59例脊髓损伤后患者，患者能够部分排尿，在排尿后10min内使用膀胱扫描仪来测定患者的残余尿。结果59例患者住院期间，共使用膀胱扫描仪进行残余尿测定472次，其中19例患者每次测得的残余尿均≥100mL，给予患者规律的间歇性导尿；有28例患者测得残余尿在73～226mL，给予患者早晚各清洁导尿1次，每天早晚清空患者膀胱；有12例患者每次测得的残余尿均〈100mL，无需导尿，患者基本恢复膀胱功能。结论使用膀胱扫描仪不仅可以动态地监测患者的残余尿情况，而且可以有针对性地制定患者膀胱功能恢复的护理方案。

Objective To explore application of bladder scanner in the determination of residual urine in patients with neurogenic bladder after SCI. Methods A total of 59 patients with spinal cord injury were selected to measure the residual urine after urination in 10 minutes by bladder scanner. Results In the duration of hospitalization, the 59 patients totally used bladder scanner to determine the residual urine for 472 times, in which 19 patients had residual urine over or equal to 100 mL every time, and they were given intermittent catheterization regularly. 28 patients had residual urine 73 to 226 mL, and they were given clean catheterization twice a day in the morning and evening to empty the bladder. 12 patients had residual urine less than 100 mL, and they were no need in urine catheterization, and the bladder functions of patients were almost recovered. Conclusion Application of bladder scanner can not only dynamically monitor patients＇ residual urine, but also can help to make nursing program for recovery of bladder function in patients.