中西医结合膀胱管理方案对脊髓损伤后神经源性膀胱的改善作用

Improving Effect of Integrated Chinese and Western Medicine Bladder Management Scheme for Neurogenic Bladder Patients with Spinal Cord Injury

目的:观察中西医结合膀胱管理方案对脊髓损伤后神经源性膀胱的改善作用。方法:选取74例脊髓损伤后神经源性膀胱患者,随机分为观察组与对照组各37例。对照组予常规治疗和护理干预,观察组予中西医结合膀胱管理方案干预,2组疗程均为4周。治疗后比较2组膀胱容量、最大排尿量、残余尿量和尿路感染发生率,并评估膀胱功能的恢复情况。结果:观察组的膀胱容量和最大排尿量均多于对照组(P<0.05);残余尿量及尿路感染发生率少/小于对照组(P<0.01,P<0.05)。观察组总有效率91.89%,对照组总有效率72.97%,2组比较,差异有统计学意义(P<0.05)。结论:中西医结合膀胱管理方案干预脊髓损伤后神经源性膀胱,能提高患者的储尿和排尿功能,减少残余尿量和尿路感染的发生,改善膀胱功能。

Objective：To observe the improving effect of integrated Chinese and western medicine bladder management scheme for neurogenic bladder patients with spinal cord injury.Methods：Selected 74 neurogenic bladder patients with spinal cord injury,and divided them into the control group and the treatment group randomly,37 cases in each.The control group was given routine treatment and nursing intervention,and the treatment group was given intervention of integrated Chinese and western medicine bladder management scheme.Treatments both lasted for four weeks.After treatment,compared bladder capacity,maximum urination volume,residual urine volume and incidence of urinary tract infection of the two groups, and evaluated recovery of bladder function.Results：Bladder capacity and maximum urination volume of the observation group were more than those of the control group（P〈 0.05）, residual urine volume and incidence of urinary tract infection of the observation group were less than those of the control group（P〈 0.05,P〈 0.01）.The total effective rate was 97.89% in the observation group,and was 72.97% in the control group, the difference being significant（P〈0.05）.Conclusion：Intervention of integrated Chinese and western medicine bladder management scheme can improve urine storage and urination function of patients,reduce residual urine volume and incidence of urinary tract infection, and improve bladder function for neurogenic bladder patients with spinal cord injury.