间歇导尿联合饮水计划治疗脑卒中后尿潴留的临床观察(1)
【摘要】 目的：探讨间歇导尿联合饮水计划对脑卒中后尿潴留患者膀胱功能恢复的积极影响。方法：将本院康复科及神经内科治疗脑卒中后尿潴留患者80例按随机数字表法分为对照组40例和试验组40例。对照组实行留置导尿，自行饮水及常规康复护理。试验组进行间歇导尿，制定饮水计划及常规康复护理。治疗6周后比较两组患者治疗前后膀胱残余尿量、治疗后尿路感染例数及达到平衡膀胱的例数。结果：6周后与对照组相比，试验组患者膀胱残余尿量减少，尿路感染人数减少，达到平衡膀胱的人数增多，两组比较差异有统计学意义(P<0.05)。结论：间歇导尿联合饮水计划对脑卒中后尿潴留患者恢复膀胱功能和重建自主排尿功能具有积极的意义。
【关键词】 脑卒中； 尿潴留； 饮水计划； 间歇导尿
Clinical Observation on Intermittent Water-drinking Plan in Post-stroke Patients with Urinary Retention/ZHANG Jun-xia， WANG Peng， JIAO Jia-wei， et al.//Medical Innovation of China，2015，12(34)：087-090
, http://www.100md.com
【Abstract】 Objective： To investigate the positive effects of intermittent catheterization combined with drinking plan on the recovery of urinary retention of bladder function after stroke survivors. Method： In department of rehabilitation and department of neurology in our hospital in the treatment of stroke with urinary retention 80 patients were randomly divided to control group (40 cases) and experimental group (40 cases). The control group was given indwelling catheter and self drinking water and conventional rehabilitation nursing. The experimental group was given intermittent catheterization and developed a plan of drinking water and conventional rehabilitation nursing. After 6 weeks， the residual urine volume， urinary tract infection， and the number of cases of balanced bladder were compared between the two groups before and after treatment. Result： After 6 weeks， compared with the control group， the residual urine volume of patients in the experimental group was reduced， the number of urinary tract infections was less， the number of balanced bladder increased， the two groups had statistical difference (P<0.05). Conclusion： Intermittent catheterization combined with drinking plan for the reconstruction and recovery of bladder function in patients with urinary retention after stroke have positive significance.
, 百拇医药
【Key words】 Stroke； Urinary retention； Drinking water； Intermittent catheterization
First-author’s address： The Nursing College of Zhengzhou University， Zhengzhou 450052， China
doi：10.3969/j.issn.1674-4985.2015.34.027
神经源性膀胱是指神经系统损伤或其他疾病导致的神经功能异常，表现为膀胱的储存和排空机制发生障碍[1]，是脑卒中患者常见并发症，临床症状表现为尿潴留或尿失禁。而急性期的重度脑卒中患者常表现为尿潴留，以留置导尿为主，但长期留置导尿管，极易引起患者膀胱挛缩和泌尿系感染，严重影响患者的康复[2]。为了帮助脑卒中患者早期重建膀胱功能，降低留置导尿管并发症的发生率，减轻患者痛苦，提高其生活质量，本院康复中心为脑卒中后病情稳定48 h以上伴偏瘫患者进行运动疗法、作业疗法、低频电刺激、针灸等综合治疗，伴尿潴留者联合间歇导尿及饮水计划，对脑卒中患者肢体康复及膀胱功能重建取得满意效果，现报告结果如下。
1 资料与方法
1.1 一般资料 选取2014年9月-2015年2月，本院康复中心及神经内科收治的脑卒中后尿潴留患者80例，按随机数字表法分为试验组40例和对照组40例。两组患者一般资料比较，差异无统计学意义(P>0.05)，具有可比性，见表1。, 百拇医药(张俊霞 王鹏 焦佳伟 姬雅梦)
【关键词】 脑卒中； 尿潴留； 饮水计划； 间歇导尿
Clinical Observation on Intermittent Water-drinking Plan in Post-stroke Patients with Urinary Retention/ZHANG Jun-xia， WANG Peng， JIAO Jia-wei， et al.//Medical Innovation of China，2015，12(34)：087-090
, http://www.100md.com
【Abstract】 Objective： To investigate the positive effects of intermittent catheterization combined with drinking plan on the recovery of urinary retention of bladder function after stroke survivors. Method： In department of rehabilitation and department of neurology in our hospital in the treatment of stroke with urinary retention 80 patients were randomly divided to control group (40 cases) and experimental group (40 cases). The control group was given indwelling catheter and self drinking water and conventional rehabilitation nursing. The experimental group was given intermittent catheterization and developed a plan of drinking water and conventional rehabilitation nursing. After 6 weeks， the residual urine volume， urinary tract infection， and the number of cases of balanced bladder were compared between the two groups before and after treatment. Result： After 6 weeks， compared with the control group， the residual urine volume of patients in the experimental group was reduced， the number of urinary tract infections was less， the number of balanced bladder increased， the two groups had statistical difference (P<0.05). Conclusion： Intermittent catheterization combined with drinking plan for the reconstruction and recovery of bladder function in patients with urinary retention after stroke have positive significance.
, 百拇医药
【Key words】 Stroke； Urinary retention； Drinking water； Intermittent catheterization
First-author’s address： The Nursing College of Zhengzhou University， Zhengzhou 450052， China
doi：10.3969/j.issn.1674-4985.2015.34.027
神经源性膀胱是指神经系统损伤或其他疾病导致的神经功能异常，表现为膀胱的储存和排空机制发生障碍[1]，是脑卒中患者常见并发症，临床症状表现为尿潴留或尿失禁。而急性期的重度脑卒中患者常表现为尿潴留，以留置导尿为主，但长期留置导尿管，极易引起患者膀胱挛缩和泌尿系感染，严重影响患者的康复[2]。为了帮助脑卒中患者早期重建膀胱功能，降低留置导尿管并发症的发生率，减轻患者痛苦，提高其生活质量，本院康复中心为脑卒中后病情稳定48 h以上伴偏瘫患者进行运动疗法、作业疗法、低频电刺激、针灸等综合治疗，伴尿潴留者联合间歇导尿及饮水计划，对脑卒中患者肢体康复及膀胱功能重建取得满意效果，现报告结果如下。
1 资料与方法
1.1 一般资料 选取2014年9月-2015年2月，本院康复中心及神经内科收治的脑卒中后尿潴留患者80例，按随机数字表法分为试验组40例和对照组40例。两组患者一般资料比较，差异无统计学意义(P>0.05)，具有可比性，见表1。, 百拇医药(张俊霞 王鹏 焦佳伟 姬雅梦)