水柱法膀胱容量压力测定技术在神经源性膀胱管理应用
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摘要
目的分析水柱法膀胱容量压力测定技术在神经源性膀胱管理应用效果。方法选取2017年7月～2018年12月我院收治的脊髓损伤等存在神经源性膀胱患者88例为观察对象,随机分为研究组和对照组,每组44例。研究组采用水柱法膀胱容量压力测定技术对膀胱功能情况进行评估,对照组采用尿流动力学检查技术对其膀胱功能情况进行评估。分析两组患者在不同评估方法指导下的膀胱功能恢复情况。结果与护理干预前相比,两组患者的膀胱功能均有明显改善(P<0.05)。护理干预后,研究组的单次排尿量、残余尿量、RBC、WBC、BAC、上尿路积水情况等与对照组相比,差异无统计学意义(P>0.05)。结论在神经源性膀胱管理中,水柱法膀胱容量压力测定技术和尿流动力学检查技术均有很好的应用效果,但是与尿流动力学技术相比,水柱法膀胱容量压力测定技术应用成本更低,因此更易在临床中应用推广。
Objective To analyze the application effect of bladder volume pressure measurement technique with water column method in neurogenic bladder management. Methods 88 patients with neurogenic bladder injury such as spinal cord injury admitted in our hospital from July 2017 to December 2018 were selected and randomly divided into study group and control group, with 44 cases in each group. The study group used the water column method for bladder volume pressure measurement to evaluate bladder function, and the control group used urodynamic examination technique to evaluate bladder function. The bladder function recovery of the two groups of patients under different evaluation methods was analyzed. Results Compared with that of the pre-treatment intervention, the bladder function was significantly improved in both groups(P<0.05). After the nursing intervention, there was no significant difference in the single urine output, residual urine volume, RBC, WBC, and upper urinary tract water accumulation between the study group and the control group(P>0.05). Conclusion In the neurogenic bladder management, water column method bladder for volume pressure measurement technique and urodynamic examination technique both have a good application effect.Compared with the urodynamic technique, the water column method of bladder volume pressure measurement technology has lower cost, so it is easier to apply in clinical applications.
Objective To analyze the application effect of bladder volume pressure measurement technique with water column method in neurogenic bladder management. Methods 88 patients with neurogenic bladder injury such as spinal cord injury admitted in our hospital from July 2017 to December 2018 were selected and randomly divided into study group and control group, with 44 cases in each group. The study group used the water column method for bladder volume pressure measurement to evaluate bladder function, and the control group used urodynamic examination technique to evaluate bladder function. The bladder function recovery of the two groups of patients under different evaluation methods was analyzed. Results Compared with that of the pre-treatment intervention, the bladder function was significantly improved in both groups(P<0.05). After the nursing intervention, there was no significant difference in the single urine output, residual urine volume, RBC, WBC, and upper urinary tract water accumulation between the study group and the control group(P>0.05). Conclusion In the neurogenic bladder management, water column method bladder for volume pressure measurement technique and urodynamic examination technique both have a good application effect.Compared with the urodynamic technique, the water column method of bladder volume pressure measurement technology has lower cost, so it is easier to apply in clinical applications.
引文
[1]耿勤,张逢侠,栾晓娟.简易膀胱容量压力测定技术的正交试验研究及在神经源膀胱管理中的效果观察[J].安徽医药,2018,18(1):92-95.
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[3]刘灵峰,赵康,陈凡,等.便携式微型动态膀胱压力监测装置在脊髓损伤性神经源性膀胱患者康复管理中的作用[J].中国临床研究,2016,29(6):826-828.
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[5]徐娟,朱华清,臧德华,等.改良膀胱容量-压力监测在脊髓损伤神经源膀胱分期护理中的应用[J].实用骨科杂志,2016,22(4):381-383.
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[7]焦永波,周顺林,陈红波,等.膀胱尿压测评系统在电针治疗脊髓损伤后神经源性膀胱中的评价应用[J].河北中医药学报,2016,31(3):41-43.
[8]张国锋,梁英,王莹.清洁间歇性导尿技术配合饮水计划在神经源性膀胱病人中的应用[J].全科护理,2017,(16):1996-1998.
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[10]彭妤婕,葛梦雅.膀胱尿压测定评定系统在脊髓损伤神经源性膀胱患者康复管理中的应用[J].中国处方药,2019,17(2):137-138.
[11]冯晓玲,王颖敏,黄春霞,等.膀胱扫描仪与神经源性膀胱残余尿测定的相关性研究[J].岭南急诊医学杂志,2016,21(1):84-85.
[12]徐娟.下尿路测压在脊髓损伤神经源性膀胱分期护理中的应用研究[J].护理研究,2016,30(10):3565-3567.
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[14]康玉闻,金中华,沈楚龙,等.电针疗法联合膀胱功能训练对脊髓损伤后神经源性膀胱尿动力学的影响[J].医学与哲学(B),2017,38(8):50-52.
[15]孟祥霞,李丽,冷军,等.膀胱尿压测评在脊髓损伤后神经源性膀胱尿潴留的规范化应用[J].康复学报,2017,27(3):47-50.
[2]朱宁,马蕾,杨彩霞.简易膀胱容量测定法结合膀胱扫描仪在脊髓损伤神经源性膀胱患者康复中的应用[J].宁夏医科大学学报,2017,39(3):311-313.
[3]刘灵峰,赵康,陈凡,等.便携式微型动态膀胱压力监测装置在脊髓损伤性神经源性膀胱患者康复管理中的作用[J].中国临床研究,2016,29(6):826-828.
[4]诸运青,高莲,梁军,等.改良膀胱容量-压力监测在脊髓损伤患者不同时期神经源性膀胱功能康复中的临床效果[J].四川医学,2017,38(2):185-188.
[5]徐娟,朱华清,臧德华,等.改良膀胱容量-压力监测在脊髓损伤神经源膀胱分期护理中的应用[J].实用骨科杂志,2016,22(4):381-383.
[6]刘灵峰,赵康,陈凡,等.便携式膀胱压力监测装置对脊髓损伤低顺应性膀胱压力的动态监测[J].中国康复,2016,31(6):461-463.
[7]焦永波,周顺林,陈红波,等.膀胱尿压测评系统在电针治疗脊髓损伤后神经源性膀胱中的评价应用[J].河北中医药学报,2016,31(3):41-43.
[8]张国锋,梁英,王莹.清洁间歇性导尿技术配合饮水计划在神经源性膀胱病人中的应用[J].全科护理,2017,(16):1996-1998.
[9]何雪,袁云峰.简易膀胱容量测定指导间歇性导尿在神经源性膀胱康复中的临床研究[J].中外医学研究,2017,15(9):18-19.
[10]彭妤婕,葛梦雅.膀胱尿压测定评定系统在脊髓损伤神经源性膀胱患者康复管理中的应用[J].中国处方药,2019,17(2):137-138.
[11]冯晓玲,王颖敏,黄春霞,等.膀胱扫描仪与神经源性膀胱残余尿测定的相关性研究[J].岭南急诊医学杂志,2016,21(1):84-85.
[12]徐娟.下尿路测压在脊髓损伤神经源性膀胱分期护理中的应用研究[J].护理研究,2016,30(10):3565-3567.
[13]韩野.膀胱功能训练法对脊髓损伤神经源性膀胱患者的康复疗效观察[D].内蒙古民族大学,2016.
[14]康玉闻,金中华,沈楚龙,等.电针疗法联合膀胱功能训练对脊髓损伤后神经源性膀胱尿动力学的影响[J].医学与哲学(B),2017,38(8):50-52.
[15]孟祥霞,李丽,冷军,等.膀胱尿压测评在脊髓损伤后神经源性膀胱尿潴留的规范化应用[J].康复学报,2017,27(3):47-50.