容量管理联合间歇性导尿对脊髓损伤合并神经源性膀胱患者的影响研究

中华养生保健 ›› 2024, Vol. 42 ›› Issue (12): 59-62.

容量管理联合间歇性导尿对脊髓损伤合并神经源性膀胱患者的影响研究

白晋锋¹, 李国庆², 钱会¹, 周金娜¹, 王文文¹, 申红梅³

1.首都医科大学附属北京康复医院骨科,北京 100144;
2.首都医科大学附属北京康复医院老年科,北京 100144;
3.首都医科大学附属北京康复医院泌尿科,北京 100144

出版日期:2024-06-16 发布日期:2024-06-14
作者简介:白晋锋（1983—）,男,汉族,籍贯：山西省忻州市,本科,主管护师,研究方向：骨科临床护理及护理管理。
基金资助:
首都医科大学附属北京康复医院临床研究培育专项（2020-11）

Effect of Volume Management Combined with Intermittent Catheterization on SCI Patients with Spinal Cord Injury Combined with Neurogenic Bladder

BAI Jin-feng¹, LI Guo-qing², QIAN Hui¹, ZHOU Jin-na¹, WANG Wen-wen¹, SHEN Hong-mei³

1. Department of Orthopedics, Beijing Rehabilitation Hospital affiliated to Capital Medical University, Beijing 100144, China;
2. Geriatric Department, Beijing Rehabilitation Hospital affiliated to Capital Medical University, Beijing 100144, China;
3. Department of Urology, Beijing Rehabilitation Hospital affiliated to Capital Medical University, Beijing 100144, China

Online:2024-06-16 Published:2024-06-14

摘要/Abstract

摘要： 目的探究容量管理联合间歇性导尿对脊髓损伤（spinal cord injury, SCI）合并神经源性膀胱（Neurogenic Bladder,NB）患者的影响。方法纳入2020年12月—2023年6月首都医科大学附属北京康复医院收治的80例SCI合并NB患者作为研究对象,利用随机数表法将其分为对照组和观察组,每组40例。对照组给予常规护理干预,观察组则给予容量管理联合间歇性导尿护理干预,均干预8周。分析两组患者干预前后膀胱安全容量、残余尿量,尿路感染发生率,自主排尿功能等级和生活质量综合评定问卷（generic quality of life inventoy-74,GQOLI-74）以观察干预效果。结果干预前,两组膀胱安全容量、膀胱残余尿量,自主排尿功能等级和GQOLI-74评分比较,差异无统计学意义（P>0.05）。干预后,两组膀胱安全容量、自主排尿功能等级和GQOLI-74各维度评分均有改善,且观察组优于对照组,差异有统计学意义（P<0.05）;干预后,两组患者膀胱残余尿量较干预前均有减少,且观察组低于对照组,差异有统计学意义（P<0.05）。此外,干预期间观察组尿路感染发生率明显低于对照组,差异有统计学意义（P<0.05）。结论容量管理联合间歇性导尿不仅可有效改善SCI合并NB患者的膀胱功能、自主排尿功能,且有助于提高患者的生活质量,减少泌尿系感染发生率,值得临床应用。

关键词: 容量管理, 间歇性导尿, 脊髓损伤, 神经源性膀胱

Abstract: Objective To investigate the effect of volume management combined with intermittent catheterization on patients with spinal cord injury (SCI) complicated with Neurogenic Bladder (NB). Methods A total of 80 patients with SCI combined with NB admitted to Beijing Rehabilitation Hospital Affiliated to Capital Medical University from December 2020 to June 2023 were included as research objects, and were divided into control group and observation group by random number table method,with 40 cases in each group.The control group was given conventional nursing intervention for SCI patients combined with NB,and the observation group was given volume management combined with intermittent catheterization nursing intervention for 8 weeks.The safe bladder volume, residual urine volume,incidence of urinary tract infection,autonomic urination function grade and the generic quality of life inventoy-74 (GQOLI-74) were analyzed before and after intervention in the two groups to observe the effect of intervention. Results Before intervention,there were no significant differences in bladder safety volume,bladder residual urine volume,autonomic urination function grade and GQOLI-74 score between the two groups (allP>0.05).After intervention,the safe bladder volume,autonomic urination function grade and GQOLI-74 scores of both groups were improved,and the observation group was better than the control group.After intervention,the residual urinary volume of bladder in both groups was decreased compared with that before intervention,and the observation group was lower than the control group,the differences were significant(P<0.05).In addition,the incidence of urinary tract infection in the observation group was significantly lower than that in the control group during the intervention(P<0.05). Conclusion Volume management combined with intermittent catheterization can not only effectively improve the bladder function and autonomic urination function in patients with SCI and NB, but also help to improve the quality of life of patients and reduce the incidence of urinary tract infection, which is worth promoting.

Key words: volume management, intermittent catheterization, spinal cord injury, neurogenic bladder

中图分类号:

R651.2

白晋锋, 李国庆, 钱会, 周金娜, 王文文, 申红梅. 容量管理联合间歇性导尿对脊髓损伤合并神经源性膀胱患者的影响研究[J]. 中华养生保健, 2024, 42(12): 59-62.

BAI Jin-feng, LI Guo-qing, QIAN Hui, ZHOU Jin-na, WANG Wen-wen, SHEN Hong-mei. Effect of Volume Management Combined with Intermittent Catheterization on SCI Patients with Spinal Cord Injury Combined with Neurogenic Bladder[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(12): 59-62.

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