膀胱功能康复训练联合间歇性导尿对卒中合并神经源性膀胱患者的影响

Effects of bladder function rehabilitation training combined with intermittent catheterization on stroke patients with neurogenic bladder

目的:观察膀胱功能康复训练联合间歇性导尿对卒中合并神经源性膀胱患者的影响。方法:回顾性分析2019年l月至10月收治的100例卒中合并神经源性膀胱患者的临床资料,按入院时间顺序分为观察组和对照组各50例。对照组采用间歇性导尿护理,观察组在对照组基础上给予膀胱功能康复训练,比较两组护理前后排尿情况、尿动力学指标水平和护理期间尿路感染发生率。结果:护理后,观察组日均排尿次数和日均尿失禁次数均少于对照组,日均单次排尿量多于对照组,最大膀胱容量和最大尿流率均明显高于对照组,残余尿量少于对照组,差异均有统计学意义(P<0.05);观察组尿路感染发生率为4.0%(2/50),低于对照组的26.0%(13/50),差异有统计学意义(P<0.05)。结论:膀胱功能康复训练联合间歇性导尿护理可改善卒中合并神经源性膀胱患者的尿动力学指标水平,以及降低尿路感染发生率,其效果优于单纯间歇性导尿护理效果。

Objective:To investigate effects of bladder function rehabilitation training combined with intermittent catheterization on stroke patients with neurogenic bladder.Methods:The clinical data of 100 stroke patients with neurogenic bladder were retrospectively analyzed.According to the order of admission,they were divided into observation group and control group,each with 50 cases.The control group was given intermittent catheterization,while the observation group was given bladder function rehabilitation training on this basis.The urination,urodynamic index levels and the incidence of urinary tract infection during the nursing period were compared between the two groups before and after the nursing.Results:After the nursing,the average daily urination frequency and daily average urinary incontinence frequency of the observation group were less than those of the control group;the average daily single urination volume was more than that of the control group;the maximum bladder volume and maximum urinary flow rate were significantly higher than those of the control group;the residual urine volume was less than that of the control group;and the differences were statistically significant(P<0.05).The incidence of urinary tract infection in the observation group was 4.0%(2/50),which was lower than 26.0%(13/50)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Bladder function rehabilitation training combined with intermittent catheterization care can improve the levels of urodynamic indicators in the stroke patients with neurogenic bladder,and reduce the incidence of urinary tract infections.Moreover,it is superior to single intermittent catheterization.