摘要
目的观察对脊髓损伤(SCI)后神经源性膀胱(NB)患者采用间歇性导尿结合盆底肌训练治疗的疗效。方法 60例SCI后NB患者,随机分成治疗组和对照组,每组30例。治疗组采用间歇性导尿结合盆底肌训练,对照组采用留置导尿结合盆底肌训练。观察两组患者的治疗效果。结果治疗后,治疗组自由尿流率、充盈时期膀胱压、排尿期同步压力流率均优于对照组,差异具有统计学意义(P<0.05)。治疗组拔除尿管成功率为93.33%,对照组为30.00%,比较差异有统计学意义(P<0.01)。结论对SCI后NB患者采用间歇性导尿结合盆底肌训练治疗,可有效改善膀胱功能,提高拔除尿管成功率。
Objective To observe the efficacy of intermittent catheterization combined with pelvic floor muscle training for the treatment of neurogenic bladder（NB） after spinal cord injury（SCI）. Methods A total of 60 patients with NB after SCI were randomly divided into treatment group and control group, with 30 cases in each group. The treatment group received intermittent catheterization combined with pelvic floor muscle training, and the control group received indwelling catheterization combined with pelvic floor muscle training. The treatment effect in two groups was observed. Results After treatment, the treatment group had better flow rate of free urine, bladder pressure during filling period, and synchronous pressure flow rate during urination period than the control group, and the difference was statistically significant（P〈0.05）. The treatment group had success rate of catheter removal as 93.33%, which was 30.00% in the control group, and the difference was statistically significant（P〈0.01）. Conclusion Combination of intermittent catheterization and pelvic floor muscle training for NB patients after SCI can effectively improve the function of bladder and improve success rate of catheter removal.
出处
《中国实用医药》
2018年第3期20-21,共2页
China Practical Medicine
基金
间歇性导尿结合盆底肌训练治疗脊髓损伤后神经源性膀胱的疗效观察(项目编号:阳计卫2016016)
关键词
间歇导尿
盆底肌训练
脊髓损伤
神经源性膀胱
Intermittent catheterization
Pelvic floor muscle training
Spinal cord injury
Neurogenic bladder
