膀胱安全容量导尿法对骶上脊髓损伤患者下尿路功能的影响

doi:10.3969/j.issn.1006-9771.2021.06.010

Abstract

Abstract: Objective

To evaluate the effect of safety bladder capacity catheterization on lower urinary tract function in patients with supracacral spinal cord injury.

Methods

A total of 60 patients with lower urinary tract dysfunction after suprasacral spinal cord injury in our hospital from January to December, 2019 were divided into control group (n = 30) and observation group (n = 30) randomly. Both groups were given intermittent catheterization, the frequency of catheterization was determined according to postvoid residual volume in the control group, while it was according to safety bladder capacity in the observation group. Their maximum destrusor pressure, postvoid residual volume, safety bladder capacity, urinary tract infection and detrusor wall thickness were compared.

Results

Eight weeks after intervention, the maximum destrusor pressure and postvoid residual volume decreased, and the safety bladder capacity increased in the observation group (t > 5.623, P < 0.05), and were better than that of the control group (t > 2.242, P < 0.05); the detrusor wall thickness significantly decreased in the observation group (t = 7.871, P < 0.05), and was lower than that of the control group (t = 3.049, P < 0.01). The number of urinary tract infection patients was less in the observation group than in the control group (χ² = 4.320, P = 0.038).

Conclusion

Intermittent catheterization based on safety bladder capacity can improve lower urinary tract function in patients with suprasacral spinal cord injury.

Key words: spinal cord injury, intermittent catheterization, safety bladder capacity

CLC Number:

R651.2

Da-wei ZHANG,Hong-jun ZHU,Xiao-yan FENG,Yu-hong CHEN,Yi LIU,Kang-wu CHEN,Ping CAI. Effect of Safety Bladder Capacity Catheterization on Lower Urinary Tract Function in Patients With Suprasacral Spinal Cord Injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(6): 692-697.

Figures/Tables 3

References 28

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组别	n	性别(n)		年龄(岁)	病程(月)	损伤程度(n)
组别	n	男	女	年龄(岁)	病程(月)	完全性损伤	不完全性损伤
对照组	30	28	2	47.47±12.13	4.00±1.23	7	23
观察组	30	26	4	49.10±13.23	4.23±1.57	9	21
χ²/t值		0.185		0.498	0.641	0.341
P值		0.667		0.620	0.524	0.559

组别	n	最大逼尿肌压(cmH₂O)		残余尿(ml)		膀胱安全容量(ml)
组别	n	干预前	干预8周后	干预前	干预8周后	干预前	干预8周后
对照组	30	71.40±19.30	69.67±17.65	239.43±80.30	221.56±79.50	326.43±65.01	352.53±58.61
观察组	30	73.70±16.89	60.53±13.66^a	233.67±70.04	174.00±65.18^b	330.53±65.20	388.77±59.17^c
t值		0.491	2.242	0.296	2.534	0.244	2.383
P值		0.625	0.029	0.768	0.014	0.808	0.020

组别	n	干预前	干预8周后
对照组	30	1.14±0.20	1.08±0.18
观察组	30	1.16±0.21	0.96±0.13^a
t值		0.328	3.049
P值		0.744	0.003

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Effect of Safety Bladder Capacity Catheterization on Lower Urinary Tract Function in Patients With Suprasacral Spinal Cord Injury

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