《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (9): 884-886.

• 论文 • 上一篇    下一篇

脊髓病后神经源性膀胱患者肠道膀胱扩大术的护理

高丽娟1，2，董向竹1，2，李秀华1，2，刘爱娟1，2   

  1. 1.中国康复研究中心北京博爱医院泌尿外科，北京市 100068；2.首都医科大学康复医学院，北京市 100068。
  • 收稿日期:2010-05-07 修回日期:1900-01-01 出版日期:2010-09-25 发布日期:2010-09-25

Perioperative Nursing of Sigmoid Colon Cystoplasty for Neurogenic Bladder after Spinal Cord Diseases

GAO Li-juan, DONG Xiang-zhu, LI Xiu-hua, et al   

  1. Department of Urology, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2010-05-07 Revised:1900-01-01 Published:2010-09-25 Online:2010-09-25

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摘要： 目的总结脊髓病后神经源性膀胱患者行乙状结肠膀胱扩大术围手术期护理。方法回顾性分析脊髓病后神经源性膀胱行乙状结肠膀胱扩大术31例患者的围手术期护理及术后随访资料。结果术后出现肠梗阻2例，短暂精神障碍1例，膀胱内真菌感染1例，均治愈。2例失访，余29例随访6个月～4年，恢复良好，能长期坚持间歇导尿。结论术前正确健康指导、肠道及膀胱准备，术后严密病情观察、胃肠减压及引流管道的护理，出院前间歇导尿的训练，出院后定期随访，是护理的关键内容，也是保证手术疗效的重要环节。

关键词: 脊髓, 神经源性膀胱, 肠道膀胱扩大术, 护理

Abstract: ObjectiveTo discuss the perioperative nursing of sigmoid colon cystoplasty in neurogenic bladder patients after spinal cord diseases. Methods31 patients with neurogenic bladder due to the spinal cord diseases and received sigmoid colon cystoplasty were reviewed and followed up. ResultsThere were 2 cases complicated with bowel obstruction, 1 case with acute alleosis and 1 case with mycotic infection in bladder after the operation, who were all cured. After discharge, 2 cases lost the follow-up. During the follow-up period of 6 months to 4 years, 29 patients recovered well and kept in self-intermittent catheterization. ConclusionPreoperative psychological nursing and intestinal and bladder preparation, postoperative gastrointestinal and urinary drainage catheters nursing, intermittent catheterization training, regular follow-up and health guiding were the key nursing contents and the important step for ensuring an excellent outcome for the operation.

Key words: spinal cord injury, neurogenic bladder, sigmoid colon cystoplasty, nursing