本文關(guān)鍵詞：間歇導尿結(jié)合生物反饋電刺激治療腦梗死后早期潴留的應(yīng)用探討　出處：《中國卒中雜志》2016年12期 　論文類型：期刊論文

  更多相關(guān)文章： 腦梗死 間歇導尿 生物反饋電刺激 尿潴留

【摘要】：目的觀察腦梗死后尿潴留患者尿流動力學相關(guān)指標的變化,探討間歇導尿結(jié)合生物反饋電刺激治療的有效性和作用機制。方法入選2014年1月-2016年1月急性腦梗死后尿潴留患者98例,對所有患者進行一般情況檢查,根據(jù)患者和(或)家屬意愿分為治療組48例和對照組50例,對照組采用無菌間歇導尿結(jié)合膀胱功能訓練治療,治療組在對照組基礎(chǔ)上采用生物反饋電刺激治療儀。分別于治療前和治療后1周測定兩組情況,包括生活質(zhì)量精簡問卷評分(Subjective Quality of Life Profile,SQLP)和尿流動力學指標。結(jié)果兩組的尿潴留情況均逐漸好轉(zhuǎn),治療組經(jīng)治療7次后,恢復自主排尿時間早于對照組(P0.01),治療組的膀胱容量、殘余尿量和最大尿流率改善優(yōu)于對照組(P0.01)。結(jié)論間歇導尿結(jié)合生物反饋電刺激治療改善腦梗死后早期尿潴留狀況效果更好。
[Abstract]:Objective To observe the changes of urinary dynamic parameters in patients with urinary retention after cerebral infarction, and to explore the effectiveness and mechanism of intermittent catheterization combined with biofeedback electrical stimulation. Methods in January 2014 98 cases of urinary retention in patients with acute cerebral infarction after -2016 year in January, the general situation of the examination of all the patients, according to the wishes of the families of patients and (or) 48 cases were divided into treatment group and control group 50 cases, control group using sterile intermittent catheterization combined with bladder function training treatment, the treatment group in the control group based on the use of biofeedback therapy instrument. The two groups were measured before treatment and 1 weeks after treatment respectively, including Subjective Quality of Life Profile (SQLP) and urinary dynamic parameters. Results urinary retention in the two groups gradually improved. After 7 times of treatment, the time of self urination in the treatment group was earlier than that in the control group (P0.01). The bladder volume, residual urine volume and maximum urinary flow rate in the treatment group were better than those in the control group (P0.01). Conclusion intermittent catheterization combined with biofeedback electrical stimulation can improve the early urinary retention after cerebral infarction.
【作者單位】： 中國人民武裝警察部隊黑龍江省總隊醫(yī)院醫(yī)務(wù)處;中國人民武裝警察部隊福建省總隊醫(yī)院康復科;中國人民武裝警察部隊后勤學院附屬醫(yī)院神經(jīng)內(nèi)科;
【分類號】：R743.3;R694.55
【正文快照】： 國內(nèi)外報道,卒中后尿失禁的發(fā)生率波動潴留很可能是卒中急性期的一過性癥狀,目前在32%~79%[1-3],既往通常認為卒中后急性尿研究表明,隨著卒中后神經(jīng)功能的改善,尿潴留 也常常隨之改善,故而臨床重視度不足,由此1.2.1對照組采用無菌間歇導尿結(jié)合膀胱功導致處理不當或不及時,造

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