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疗效观察.docVIP

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疗效观察 　　【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?g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（Plt;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（Plt;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。 　　【关键词】 间歇导尿;盆底肌训练;脊髓损伤;神经源性膀胱 　　DOI：10.14163/j.cnki.11-5547/r.2018.03.010 　　【Abstract】 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 （Plt;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 （Plt;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. 　　【Key words】 Intermittent catheterization; Pelvic floor muscle training; Spinal cord injury; Neurogenic bladder 　　神经源性膀胱（neurogenic bladder， NB）为脊髓损伤（spinal cord injury， SCI）的临床常见合并症， 以尿失禁或尿潴留为主要表现， 是骨科及康复科治疗难题[1]。本研究通过对本院2016年4月～2017年4月收治的SCI后30例NB患者进行间歇性导尿结合盆底肌训练治疗， 取得较好效果， 现将结果报告如下。 　　1 资料与方法 　　1. 1 一般资料 选取本院2016年4月～2017年4月收治的60例SCI后NB患者， 纳入标