膀胱控制训练联合药物治疗对脊髓损伤患者膀胱功能障碍康复效果的影响

Effect of bladder control training combined with drug therapy on bladder dysfunction recovery in patients with spinal cord injury

目的研究膀胱控制训练联合药物治疗对脊髓损伤患者膀胱功能障碍的疗效。方法将来我院进行康复训练的80例脊髓损伤患者随机分为试验组和对照组,各40例。对照组进行常规康复训练,试验组在对照组基础上增加膀胱控制训练以及药物治疗。8个月后观察两组治疗效果。结果试验组治疗总有效率高于对照组,泌尿系感染率明显低于对照组(P<0.05);试验组的最大排尿量、平均排尿次数、残余尿以及膀胱容量明显优于对照组(P<0.05)。结论膀胱控制训练对于促进脊髓损伤患者的膀胱功能障碍康复具有积极作用。

Objective To study the effect of bladder control training combined with drug therapy on spinal cord injurypatients with bladder dysfunction. Methods Eighty patients with spinal cord injury taken rehabilitation training in ourhospital were randomly divided into experimental group and control group, with 40 cases in each group. The control groupwas given routine rehabilitation training, and the experimental group added bladder control training on the basis of thecontrol group. The effects of the two groups were compared after 8 months. Results Compared with the control group, theexperimental group had higher total effective rate of treatment and lower urinary infection rate （P〈0.05）. The maximum urineoutput, average urination frequency, residual urine and bladder capacity in the experimental group were significantly betterthan those in the control group （P〈0.05）. Conclusion Bladder control training plays a positive role in promoting the recoveryof bladder dysfunction in patients with spinal cord injury.