摘要
目的 探讨早期训练对脊髓损伤患者膀胱功能康复疗效。方法 采用各种刺激使脊髓低级排尿中枢引起反射性尿道外括约肌协同松驰这一原理 ,综合设定有效的耐力训练、定时的手法按摩及夹闭尿管定时放尿的方法进行早期膀胱功能训练 ,促进反射性膀胱功能的形成。结果 76例患者中 6 7例 (88.16 % )在 2～ 3周内建立反射性膀胱功能 ,达到优良标准。膀胱训练后 ,残余尿测定成功率达 89 4 7% ,泌尿系统感染下降率为 87 5 %。出院 1年后跟踪观察均能顺利排尿。结论 有效的耐力训练与定时的手法按摩是脊髓损伤患者膀胱功能早期康复的有效方法 ,值得临床推广应用。
Objective To observe the effecacy of the earlier recovery exercise on bladder functional recovery in patients with spinal cord injury(SCI).Methods The patients with SCI were selected,lasting long exercise and regular massotherapy were used.Results Among 76 patients 67 cases(88.16%) patients with SCI established bladder conditioned reflex during 2 to 3 weeks,and attached to the best or the better standard.The urine residual volume of 89.47% patients with SCI became successful after the bladder function being trained,and the infection rate of urinary system decreased 87.5 %.All patients could urinate successfully after one year.Conclusion It is a effective method on bladder functional recovery in patients with SCI to use lasting long exercise and regular massotherapy.It is worthy of being used widely in clinical work.
出处
《医药论坛杂志》
2004年第17期27-28,33,共3页
Journal of Medical Forum
