冷热交替膀胱冲洗法对神经源性膀胱影响.pdfVIP

摘要 3、冷热交替膀胱冲洗法安全性高。 关键词：膀胱冲洗；神经源性膀胱；尿动力学；尿路感染；生活质量 ABSTRACT objective： To the exploreinfluenceof bladder on alternating bladder，s irrigationrleul．ogenic tunctionalandevaluatethe recovery of safety bladder alternating irrigation． Methods： Sixty with patientsneurogenic inRehabilitation bladder NB hospitalized dept inNan_Shanfrom 1 HoSpital 202to february 2013were february raIldomlvdivided Intothe the studygroup 30 control cases and group 30cases ．The con仃ol斟oup 妣他仃eated晰tll conventionalbladder the trainingmethod，while were study group added bladder alternating oncea irrigationday．Both iIldexes groups’urodyn锄ics maximum cystometric capacity residual MCC，postvoid PVR，maximu】[1ldetmsor VolQingpressure Pdet·max，maximumflow rate urinary measured Qmax 、Ⅳere before andafter bladder training．Both groups’automaticmicturition timewere noted．nlen． “旧gmup effectswere 8’recovery evaluated．Assessmentofthe of quality life QOL 甜t、vo was made groups’patients the by oflife usingquality scalebefore rating and after bladder rate oftwo training．The tract groups’urinary monitored·The vital studygroup’s andbad sign reactions changes wereaJso momtored beforeand after bladder alternating safbtyof irrigation．Then，the bladder were alternating evaluated． irrigation Results： l·lhe indexes：Therewas security no significantdifferenceinvital before sign and aft钉the bladder alternating rateof irrigation P 0．05 ．TheUTIinme studv Waslowerthan group thatinthe control group P O．05 ． 2·The therapyindexes：Therewere significantdifferencesin could two伊oups beSeell inthe rateof recoverybladder micturition functionand automatic micnlrition was time P 0·05 ；There difference significant in inthe QOL study before group and afterthe training P 0．05 ． 3·The urodynamic indexes：Significantdifferencesintwo couldbeseen groups IV Abstract in and betweenshowed MCC，PVR，Qmax Pdet．max P 0．05 ．Comparisongroups thattherewereno differencesinPVRand there significant Pdet．max P 0．05 ，while were differencesinMCCand