【摘要】 目的:观察中医治疗与护理在脊髓损伤后神经源性膀胱(NB)中的应用效果。方法:选取本院收治的80例脊髓损伤后NB患者,按照随机数字表法分为观察组和对照组,每组40例。对照组采用常规疗法与间歇性导尿护理,观察组在对照组基础上采用中医治疗与护理方法。比较2组干预前后残余尿量、最大膀胱容积、充盈末逼尿肌压力、最大尿流率,观察泌尿系感染情况,干预8周后进行疗效评价。结果:干预后,2组残余尿量、充盈末逼尿肌压力均较治疗前下降(P <0.05),最大膀胱容积和最大尿流率均较治疗前增大(P <0.05);观察组残余尿量少于对照组(P <0.05),充盈末逼尿肌压力小于对照组(P <0.05),最大膀胱容积和最大尿流率均大于对照组(P <0.05)。干预后,2组泌尿系感染率均较干预前降低(P <0.05);观察组泌尿系感染率低于对照组(P <0.05)。观察组总有效率97.50%,对照组总有效率85.00%,2组比较,差异有统计学意义(P <0.05)。结论:中医治疗与护理应用于脊髓损伤后NB患者,能够改善其尿动力学参数,减少泌尿系感染,提高治疗效果。更多还原

【Abstract】 Objective:To observe the effect of Chinese medicine treatment and nursing on neurogenic bladder(NB) after spinal cord injury. Methods:A total of 80 cases of patients with NB after spinal cord injury treated in our hospital were divided into the observation group and the control group according to the random number table method,40 cases in each group. The control group was treated with routine therapy and intermittent catheterization,and the observation group was treated with Chinese medicine treatment and nursing based on the treatment of the control group. The residual urine volume, the maximum capacity of bladder,the end-filling detrusor pressure and the maximum urinary flow rate in the two groups before and after intervention were compared and the urinary tract infection was observed. The assessment of effect was done after eight weeks of intervention. Results:After intervention,the residual urine volume and the end-filling detrusor pressure in the two groups were decreased when compared with those before treatment(P < 0.05);the maximum capacity of bladder and the maximum urinary flow rate in the two groups were increased when compared with those before treatment(P < 0.05). In the observation group,the residual urine volume was less than that in the control group(P < 0.05),the end-filling detrusor pressure was less than that in the control group(P < 0.05),the maximum capacity of bladder and the maximum urinary flow rate were both larger than those in the control group(P < 0.05). After intervention,the urinary tract infection rate in the two groups was decreased when compared with that before intervention(P < 0.05),and that in the observation group was lower than that in the control group(P < 0.05). The total effective rate was 97.50% in the observation group and 85.00% in the control group,the difference being significant(P < 0.05). Conclusion:Chinese medicine treatment and nursing for the patients with NB after spinal cord injury can improve their urodynamic parameters,reduce urinary tract infections and promote the curative effect.更多还原