文献类型：期刊文献

中文题名：铺灸联合系统康复护理对脊髓损伤后神经源性膀胱患者排尿功能及日常生活活动能力的影响

英文题名：Effect of Spreading Moxibustion Combined with Systematic Rehabilitation Nursing on Urination Function and Activities of Daily Living in Patients with Neurogenic Bladder after Spinal Cord Injury

作者：张燕琴[1];王小丽[2];唐锐[3];李晓萍[4]

第一作者：张燕琴

机构：[1]甘肃省中医院康复科,甘肃兰州730050;[2]甘肃中医药大学护理学院,甘肃兰州730000;[3]甘肃省中医院护理部,甘肃兰州730050;[4]甘肃省中医院血液透析中心,甘肃兰州730050

第一机构：甘肃省中医院康复科,甘肃兰州730050

年份：2023

卷号：4

期号：12

起止页码：5

中文期刊名：反射疗法与康复医学

外文期刊名：Reflexology And Rehabilitation Medicine

基金：甘肃中医药普通科研项目(GZKP-2022-11)。

语种：中文

中文关键词：脊髓损伤;神经源性膀胱;铺灸;系统康复护理;排尿功能;日常生活活动能力

外文关键词：Spinal cord injury;Neurogenic bladder;Spreading moxibustion;Systematic rehabilitation nursing;Urinary function;Activities of daily living

摘要：目的探究脊髓损伤后神经源性膀胱患者采用铺灸联合系统康复护理对排尿功能及日常生活活动能力的影响。方法选择2020年10月—2022年10月甘肃省中医院收治的102例脊髓损伤后神经源性膀胱患者为研究对象,按照随机数字表法分为两组,每组51例。对照组采用系统康复护理,在此基础上,观察组采用铺灸干预,均持续干预2个月。比较两组患者的排尿功能及日常生活活动能力。结果干预后,观察组的单次排尿量多于对照组,24 h排尿次数、24 h漏尿次数、残余尿量均少于对照组,膀胱容量大于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组的脊髓损伤独立性评估量表中自我照顾、呼吸及括约肌管理、移动能力评分分别为(18.12±1.36)分、(34.87±3.82)分、(33.51±2.36)分,均高于对照组的(15.55±1.24)分、(32.61±3.55)分、(30.85±2.61)分,组间差异有统计学意义(P<0.05)。结论铺灸联合系统康复护理能显著改善脊髓损伤后神经源性膀胱患者的排尿功能,提高其日常生活活动能力。
Objective To investigate the effect of spreading moxibustion combined with system rehabilitation nursing on urination function and daily living ability in patients with neurogenic bladder after spinal cord injury.Methods 102 patients with neurogenic bladder after spinal cord injury treated in Gansu Provincial Hospital of Traditional Chinese Medicine from October 2020 to October 2022 were selected as the research objects and were divided into two groups according to random number table method,with 51 cases in each group.The control group was treated with systematic rehabilitation nursing,and the observation group was treated with spreading moxibustion intervention.Both groups continued to intervene for 2 months.The urination function and the ability of daily living were compared between the two groups.Results After intervention,the single urination volume in the observation group was more than that in the control group,the 24 h urination times,24 h urine leakage times and residual urine volume were less than those in the control group,and the bladder volume was greater than that in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the scores of self-care,respiratory and sphincter management and mobility of the spinal cord independence measure in the observation group were(18.12±1.36)points,(34.87±3.82)points and(33.51±2.36)points,respectively,which were higher than(15.55±1.24)points,(32.61±3.55)points and(30.85±2.61)points in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Spreading moxibustion combined with systematic rehabilitation nursing can significantly improve the urination function and the ability of daily living in patients with neurogenic bladder after spinal cord injury.