脊髓损伤伴神经源性膀胱患者实施间歇性导尿护理体会.docVIP

脊髓损伤伴神经源性膀胱患者实施间歇性导尿护理体会 　　【摘要】 目的：探讨脊髓损伤伴神经源性膀胱患者实施间歇性导尿的护理效果。方法：选择40例脊髓损伤伴有神经源性膀胱患者作为研究对象，并给予其间歇性导尿，同时采取针对性的护理干预，分析疗效并总结护理体会。结果：所有患者膀胱容量全部恢复正常或者接近正常，同时残余尿量降低到100 ml以下，未出现严重尿路感染、肾积水及结石等相关并发症，且患者或者亲属学会了间歇性导尿技术。结论：对脊髓损伤伴神经源性膀胱患者实施间歇性导尿，同时采取针对性的护理干预，可以使相关并发症明显减少，使患者生活质量进一步提高，具有较高的临床应用价值。 　　【关键词】 脊髓损伤； 神经源性膀胱； 间歇性导尿； 护理 　　doi：10.14033/j.cnki.cfmr.2018.1.046 文献标识码 B 文章编号 1674-6805（2018）01-0095-02 　　Nursing Experience of Intermittent Catheterization in Patients with Spinal Cord Injury and Neurogenic Bladder/XIONG Bei.//Chinese and Foreign Medical Research，2018，16（1）：95-96 　　【Abstract】 Objective：To investigate the nursing effect of intermittent catheterization in patients with spinal cord injury and neurogenic bladder.Method：A total of 40 patients with spinal cord injury and neurogenic bladder were selected as the research objects，intermittent catheterization was given to the patients，at the same time，targeted nursing intervention was adopted，then the curative effect and summarized the nursing experience were analyzed.Result：The bladder volume returned to normal or almost normal in all patients，at the same time，the residual urine volume dropped below 100 ml，there were no serious urinary tract infections，hydronephrosis，and stones.Moreover，patients or relatives learned intermittent catheterization.Conclusion：The implementation of intermittent catheterization in patients with neurogenic bladder after spinal cord injury，and taking targeted nursing intervention，can make the related complications significantly reduced，so that further improve the quality of life of patients，it has high value in clinical application. 　　【Key words】 Spinal cord injury； Neurogenic bladder； Intermittent catheterization； Nursing care 　　First-author’s address：Chongqing Three Gorges Central Hospital，Chongqing 404000，China 　　脊髓?p伤后会伴随损伤平面以下不同程度的感觉和/或运动功能障碍，根据损伤程度，在一定时期内即可对患者的躯体功能做出较为客观的预测。但脊髓损伤后，神经源性膀胱是其较为常见的并发症之一，伴随的排尿功能障碍严重影响着患者的生活质量，也是康复护理中较为棘手的问题。神经源膀胱导致的排尿功能障碍给患者会带来尿路感染、结石或肾积水等并发症，更严重者可能会引起