摘要
目的 探究间歇性导尿在脊髓损伤后神经源性膀胱的临床康复护理效果。方法 选取2023年1月-2023年12月我院收治的脊髓损伤后神经源性膀胱患者80例作为本次研究对象，按奇偶分组法分为对照组（40例），观察组（40例），对照组给予常规护理干预，观察组给予间歇性导尿护理干预，对比两组患者膀胱容量、残余尿量及护理满意度，统计学方法主要采用T检验。结果 护理干预前，两组患者膀胱容量及残余尿量对比（P＞0.05）无统计学意义，护理干预后，观察组患者膀胱容量高于对照组、残余尿量低于对照组（P＜0.05），观察组护理满意度评分（90.75±5.73）分高于对照组（81.14±5.75）分（P＜0.05），差异存在统计学意义。结论 针对脊髓损伤后神经源性膀胱患者，采用常规护理效果不佳，而间歇性导尿护理干预更有优势，是临床优质路径，可提高患者膀胱功能，使临床症状转阴，提高患者生活质量及护理质量，加速患者康复进程。
关键词： 间歇性导尿护理；脊髓损伤；神经源性膀胱；应用效果
Abstract
Objective To explore the clinical rehabilitation nursing effect of intermittent catheterization on neurogenic bladder after spinal cord injury. Methods 80 patients with neurogenic bladder after spinal cord injury admitted to our hospital from January 2023 to December 2023 were selected as the study subjects. They were divided into a control group (40 cases) and an observation group (40 cases) using odd even grouping method. The control group received routine nursing intervention, while the observation group received intermittent catheterization nursing intervention. The bladder volume, residual urine volume, and nursing satisfaction of the two groups were compared, and the statistical method mainly used was T-test. Results Before nursing intervention, there was no statistically significant difference in bladder capacity and residual urine volume between the two groups of patients (P>0.05). After nursing intervention, the bladder capacity of the observation group was higher than that of the control group, while residual urine volume was lower than that of the control group (P<0.05). The nursing satisfaction score of the observation group (90.75 ± 5.73) was higher than that of the control group (81.14 ± 5.75) (P<0.05), and the difference was statistically significant. Conclusion For patients with neurogenic bladder after spinal cord injury, conventional nursing is not effective, while intermittent catheterization nursing intervention has advantages and is a high-quality clinical pathway that can improve bladder function, turn clinical symptoms negative, improve patient quality of life and nursing quality, and accelerate patient recovery process.
Key words： Intermittent catheterization nursing; Spinal cord injury; Neurogenic bladder; Application effect
参考文献 References
[1] 梁海珍.刍议间歇性导尿在脊髓损伤后神经源性膀胱的临床康复护理效果[J].中文科技期刊数据库（文摘版）医药卫生,2021(5):158-158160.
[2] 王东利,王学乾,王蕊,郝有志,乔伟伟,李超,左银平,顾鑫.火针联合康复训练治疗脊髓损伤后神经源性膀胱临床观察[J].山西中医,2024,40(1):27-2831.
[3] 马莉,汤梦,李冰,陈莉.体位改变对脊髓损伤伴神经源性膀胱功能障碍患者导尿效果的影响[J].齐鲁护理杂志, 2024, 30(1):44-47.
[4] 杨月楼,杨美云,侯红梅,黎敏华.基于膀胱安全容量的清洁间歇导尿在脊髓损伤神经源性膀胱的应用效果[J].现代中西医结合杂志,2023,32(14):2011-2017.
[5] Yu Wenming, Ge Xiaoyi, Ling Yan. Clinical efficacy observation of functional magnetic stimulation combined with intermittent catheterization for neurogenic bladder after spinal cord injury [J]. Chinese Journal of Science and Technology Database (Citation Edition) Medical and Health,2023(8):69-71.
[6] 朱睿智,曾芳俊,张树芳,肖艳平,苏桂娣,何伟.盆底磁刺激联合膀胱综合护理管理对脊髓损伤神经源性膀胱患者影响[J].黑龙江医学,2024,48(1):85-87.
[7] 刘萌萌.脊髓损伤神经源性膀胱的临床康复护理运用[J].每周文摘·养老周刊,2023(13):203-205.
[8] 李燕,张晓芳,王学宁.膀胱功能综合康复管理对脊髓损伤后神经源性膀胱中的应用[J].实用医技杂志,2024, 31(1): 54-57.
[9] 王婷,尤敏,褚小菁,梁月光,夏爱芳,袁丽俐,杨敏,程姐.按摩灸联合康复专科护理对脊髓损伤后神经源性膀胱病人膀胱功能恢复和生存质量的影响研究[J].全科护理, 2023, 21(27):3820-3823.
[10] 虞美华,曹琳,高真真.低频电脉冲治疗联合间歇性导尿在脊髓损伤神经源性膀胱康复中的应用研究[J].中国康复,2023,38(12):736-738.