摘要
目的观察自行设计的膜片式气囊导尿管应用于卒中后神经源性膀胱的治疗效果。方法选取2015年1月至2016年6月神经内科住院确诊为卒中后神经源性膀胱的患者190例,按照患者不同处理方案分为治疗组(97例)和对照组(93例)。治疗组使用膜片式气囊导尿管进行治疗,对照组使用普通气囊导尿管进行治疗;比较组间不同时间点患者排尿及相关指标情况。结果排尿日记显示,治疗后1、2、3个月,治疗组尿失禁次数、排尿前和排尿后感觉异常次数低于对照组(P<0.05,P<0.01)。检查指标显示,治疗组治疗后1、2、3个月的残余尿量明显低于对照组(P<0.05,P<0.01),治疗后2、3个月的Barthel指数明显高于对照组(P<0.05,P<0.01),治疗后2、3个月的上尿路受累、下尿路感染及变形膀胱发生率较对照组有所下降,但差异无统计学意义(P均>0.05)。结论相比于传统的气囊导尿管,膜片式气囊导尿管在治疗卒中后神经源性膀胱可取得更好的疗效。
Objective： To observe the efficacy of self-designed diaphragm balloon urinary catheter in the treatment of neurogenic bladder after stroke, Methods A total of 190 patients with diagnosed neurogeuic bladder after stroke admitted in Neurology Department from January 2015 to June 2016 were selected and divided into treatment group （n = 97） and control group （n = 93 ） according to different treatment schemes. The patients in treatment group were treated with diaphragm balloon urinary catheter, and the patients in control group were treated with ordinary balloon catheter. Urination and urination-related indexes of patients at different time points were compared between two groups. Results The voiding diary record showed that the times of uracratia and pre- and post-urination perverted sensation at 1-, 2- and 3-month after treatment in treatment group were significantly lower than those in control group （ P 〈 0.05, P 〈 O. 01 ）. The examined indicators showed that the residual urine volume was significantly lower at 1-,2- and 3-month after treatment in treatment group than those in control group （P 〈 0.05, P 〈 0.01 ） , and Bartbel index was obviously higher 2- and 3-month later in treatment group than those in control group（P 〈 0.05,P 〈 0. 01 ）. The incidence rates of upper urinary tract involvement, the lower urinary tract infection and bladder deformation in treatment group were lower than those in control group, but there was no statistical difference between two groups （ all P 〉 0.05 ）. Conclusion Compared with ordinary balloon catheter, diaphragm balloon urinary catheter has better curative effect for the treatment of neurogenic bladder after stroke.
作者
许改红
耿德勤
XU Gai-hong GENG De-qin(Xuzhou Medical University, Xuzhou, Jiangsu 221004, China)
出处
《中国临床研究》
CAS
2017年第10期1398-1401,共4页
Chinese Journal of Clinical Research
关键词
神经源性膀胱
卒中后
导尿管
膜片弹簧
感染
残余尿量
变形膀胱
Neurogenic bladder, after stroke
Urinary catheter, diaphragm spring
Infection
Residual urine volume
Bladder deformation
