个性化膀胱安全容量指导下的有限冷热膀胱冲洗联合间歇性导尿对脊髓损伤后神经源性膀胱患者的膀胱功能康复的影响

Effect of individualized safety bladder capacity-guided limited hot and cold bladder irrigation combined with intermittent urethral catheterization on bladder function rehabilitation in patients with neurogenic bladder after spinal cord injury

目的探讨个性化膀胱安全容量指导下的有限冷热膀胱冲洗联合间歇性导尿对脊髓损伤后神经源性膀胱患者膀胱功能康复的影响。方法选取64例脊髓损伤后神经源性膀胱患者作为研究对象,随机将其分为研究组和对照组,每组32例。对照组行个性化膀胱安全容量指导下的间歇性导尿,研究组在此基础上行个性化膀胱安全容量指导下的有限冷热膀胱冲洗,两组均干预4周。比较两组尿路感染情况、膀胱安全容量、残余尿量、单次排尿量和尿失禁次数。结果干预4周后,研究组的尿路感染率、残余尿量、尿失禁次数均低于对照组;研究组的膀胱安全容量、单次排尿量均大于对照组(均P<0.05)。结论个性化膀胱安全容量指导下的有限冷热膀胱冲洗联合间歇性导尿可增大脊髓损伤后神经源性膀胱患者的膀胱安全容量,增加单次排尿量,减少尿路感染情况、残余尿量和尿失禁次数。

Objective To investigate the effect of individualized safety bladder capacity-guided limited hot and cold bladder irrigation combined with intermittent urethral catheterization on bladder function rehabilitation in patients with neurogenic bladder after spinal cord injury.Methods A total of 64 patients with neurogenic bladder after spinal cord injury were selected as the study subjects and were randomly divided into a study group or a control group,with 32 cases in each group.The control group underwent individualized safety bladder capacity-guided intermittent urethral catheterization,based on which the study group underwent individualized safety bladder capacity-guided limited hot and cold bladder irrigation,and both groups were intervened for 4 weeks.The incidence of urinary tract infection,safety bladder capacity,residual urine volume,single urination volume,and number of urinary incontinence were compared between the two groups.Results After 4 weeks of intervention,the incidence of urinary tract infection,residual urine volume,and number of urinary incontinence in the study group were lower than those in the control group;the safe bladder capacity and single urination volume in the study group were higher than those in the control group(all P<0.05).Conclusion Individualized safety bladder capacity-guided limited hot and cold bladder irrigation combined with intermittent urethral catheterization can enhance safety bladder capacity,increase single urination volume,and reduce urinary tract infection,residual urine volume,and the number of urinary incontinence in patients with neurogenic bladder after spinal cord injury.