摘要
目的考察中西结合护理手段对创伤性截瘫患者术后尿潴留的临床护理效果,为患者提供安全、经济、高效的护理方法。方法收集河北省怀安县人口和计划生育局2008年3月～2012年5月间收治的90名创伤性截瘫患者为研究对象,分为A、B两组。在脊髓休克期与脊髓功能恢复期分别使用不同的中西结合护理手段对创伤性截瘫患者进行护理,治疗一定时间后对护理效果进行考察。结果脊髓休克期内的患者接受间歇导尿与中药利尿饮的护理治疗后,患者经导尿后的尿残余量与护理前相比,有明显下降,泌尿道感染率接近零。A组护理前残余尿量为(336.42±51.21)mL,2、4周后,护理后残余尿量分别为(163.46±39.81)、(336.42±51.21)mL;B组护理前残余尿量为(340.17±47.26)mL,护理后残余尿量分别为(103.24±25.49)、(89.64±31.69)mL,且数据间差异有高度统计学意义(P<0.01)。脊髓功能恢复期内的A、B两组患者,经过中西结合护理后,2周与1个月后患者自行排尿后尿残余量与护理前相比均有显著下降,A组下降为(103.11±23.57)、(91.83±29.13)mL,B组下降为(103.24±25.49)、(89.64±31.69)mL,且数据间差异有高度统计学意义(P<0.01),膀胱功能改善的总有效率为100%。结论中西结合的护理手段对创伤性截瘫患者的尿潴留症状具有较好的临床护理效果,且有安全、高效、经济等优点,值得临床推广应用。
Objective To investigate the clinical nursing effect of Chinese traditional and western medicine combination for urinary retention caused by traumatic paraplegia, so as to nurse patients safely, economically, and effectively. Methods Ninety patients with traumatic paraplegia admitted to our hospital from March 2008 to May 2012 were selected and divided into group A and B. During spinal shock period and recovery period of spinal cord function, different nursing means combining Chinese traditional and western medicine were used. The effect was inspected after a certain period of nursing. Results During spinal shock period, after intermittent catheterization and TCM diuretic drinking, the residual urine volume of patients were markedly reduced after catheterization compared as that of before catheterization, urinary tract infection rate neared zero. The residual urine volume of Group A before nursing was （336.42±51.21） mL, 2 and 4 weeks after nursing was respectively （163.46-±39.81） mL and （336.42±51.21） mL. The residual urine volume of group B before nursing was （340.17±47.26） mL, 2 and 4 weeks after nursing was respectively （103.24±25.49） mL and （89.64±31.69） mL with statistics difference （P 〈 0.01）. During recovery period of spinal cord function, after nursing of combining Chinese traditional and western medicine, both groups＂ residual urine volume after voluntary micturition were markedly reduced at two weeks and one month compared as these of before nursing, group A respectively （103.11±23.57） mL and （91.83±29.13） mL, while group B respectively （103.24±25.49） mL and （89.64±31.69） mL with statistics differences （P 〈 0.01）. The total effective rate of bladder function improvement was 100%. Conclusion For urinary retention caused by traumatic paraplegia, nursing of Chinese traditional and western medicine combination has better clinical efficacy, also safe, economic, highly effective, and worthy of widely clinical application.
出处
《中国医药导报》
CAS
2013年第13期113-115,共3页
China Medical Herald
基金
河北省张家口市科学技术研究与发展计划社发领域自筹经费项目(编号1221019D)
关键词
创伤性截瘫
脊髓损伤
尿潴留
护理手段
Traumatic paraplegia
Injury of spinal cord
Urinary retention
Nursing means
