| 李 琨,黄东锋,王熠平,蔡丽娥,杨秀玉,苏 霞.尿管测压对判断脊髓损伤患者膀胱功能恢复及拔尿管指征的临床意义[J].中国康复医学杂志,2009,24(9): |
| 尿管测压对判断脊髓损伤患者膀胱功能恢复及拔尿管指征的临床意义 点此下载全文 |
| 李 琨 黄东锋 王熠平 蔡丽娥 杨秀玉 苏 霞 |
| 中山大学附属第一医院康复医学科,广州,510080 |
| 基金项目： |
| DOI： |
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| 摘要： |
| 目的：探讨尿管测压在判断脊髓损伤（SCI）患者膀胱功能恢复情况及拔尿管指征方面的临床意义。方法：选择33例SCI患者,按简单随机分组，实验组18例，对照组15例。两组患者入院后实施了膀胱功能训练、电刺激等一系列的康复护理措施，并每隔3d进行一次尿管测压。实验组患者拔除尿管指征为尿管测压高于40cmH2O，对照组拔除尿管的指征为尿管测压高于28cmH2O。结果：拔除尿管时，两组患者的尿管测压均较入院时升高，且其差异有显著性意义(t=11.20,P=0.00;t=9.76,P=0.00)。实验组和对照组患者在拔除尿管后部分实现自主排尿，实验组能够自主排尿的患者的百分比高于对照组，但二组间差异无显著性意义（Z=-1.82,P=0.069)。结论：尿管测压的数值可以作为SCI膀胱功能恢复的康复指标和指导膀胱康复护理的客观简易方法，是否能作为患者拔除尿管的精确指征还有待积累资料。 |
| 关键词：脊髓损伤 膀胱 功能 导管 护理 |
| Application of catheter pressure measure in judging the recovery of bladder function and the indication of withdrawing catheter in the patients after spinal cord injury Download Fulltext |
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| Department of Rehabilitation Medicine, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080 |
| Fund Project: |
| Abstract: |
| Objective: To explore the clinical meaning of catheter pressure measure in judging the recovery of bladder function and the indication of withdrawing catheter in the patients after spinal cord injury (SCI). Method: From January 2007 to December 2008, 33 patients after SCI were recruited. They were randomly divided into two groups, experiment group(18 cases) and control group(15 cases). Both groups received series of rehabilitation nursing including bladder function training, electrical stimulation, etc. Catheter pressure measure was implemented once every 4d. In experiment group the indication for withdrawing catheter was during catheter pressure higher than 40cmH2O; while in control group was higher than 28 cmH2O. Result: At the time of withdrawing catheters, the catheter pressures in both groups were higher than that at admission(t=11.20, P=0.00; t=9.76, P=0.00). Part of the patients in both groups could urinate voluntarily. In experiment group the percentage of patients who could urinate voluntarily was higher than that in control group, but there was no significant difference between two groups（Z=-1.82,P=0.069). Conclusion: Catheter pressure measure is an objective, simple and dynamicaly method to evaluate the recovery of bladder function of patients after SCI, but whether it is an accurate indication of withdrawing catheter needs further observation. |
| Keywords:spinal cord injury bladder function catheter nursing |
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