中西医综合护理对脊髓损伤患者尿潴留的效果分析.docVIP

中西医综合护理对脊髓损伤患者尿潴留的效果分析摘要：目的 探讨中西医综合护理对脊髓损伤患者尿潴留的效果。方法 将我院2008年1月至2011年1月收治的60例脊髓损伤尿潴留的患者分为观察组和对照组，对照组采用西医常规护理，观察组在对照组的基础上采用中医护理，比较两组的护理效果。结果 观察组的显效21例，有效7例，总有效率为93.3%显著高于对照组的60.0%(P0.05)。观察组的自主排尿时间、残余尿量、泌尿感染及结石的发生率显著优于对照组(P0.05)。结论 中西医综合护理可提高脊髓损伤尿潴留的疗效，减少并发症，值得推广。 关键词：中西医综合护理；脊髓损伤；尿潴留；效果ffect analysis of Comprehensive Nursing of Traditional Chinese and Western medicine for spinal cord injury patients with urinary retention Abstract: Objective to investigate the effect analysis of comprehensive nursing of traditional Chinese and western medicine for spinal cord injury patients with urinary retention.Methods 60 cases of spinal cord injury with urinary retention patients in our hospital from 2008 January to 2011 January were divided into the observation group and the control group, the control group was given conventional western medicine nursing, observation group was given the traditional Chinese medicine nursing on the basis of the control group, the two groups were compared with nursing effect. Results 21 cases were healed in the observation group, 7 cases were effective; the total effective rate was 93.3% which higher than 60% in the control group (P 0.05). Autonomous Urination time, residual urine volume, urinary infection and stone formation rate in the observation group was significantly better than that in the control group (P0.05). Conclusion the combination of Chinese traditional and Western medicine nursing can improve the curative effect of spinal cord injury with urinary retention, reduce complication, it is worth popularizing. Key words: comprehensive nursing of Chinese traditional and Western medicine; spinal cord injury; urine retention; effect 脊髓损伤是较为严重的中枢神经系统的创伤，患者主要表现为感觉、运动功能完全丧失和大小便失禁。尿潴留是脊髓损伤患者常见的并发症之一，患者支配膀胱的神经功能受到损伤，膀胱逼尿肌不能收缩，待自主膀胱形成后才能恢复[1]。尿潴留的患者往往由于排尿困难，心情张，烦躁不安，临床护理的目的在于尽早促进患者的康复，减少并发症的发生。我院2008年1月至2011年1月采用中西医综合护理50例脊髓损伤尿潴留的患者，效果满意，现报告如下。 1 资料与方法 1.1 一般资料 60例均为我院收治的脊髓损伤的住院患者，所有病例均符合《外科学》关于脊髓损伤性尿潴留的诊断标准，且符合《中医病证诊断疗效标准》“癃闭”均经CT或MRI诊断确诊，无胸、腹、