The effects of urodynamic analysis and individualized bladder training on bladder function after spinal cord injury
10.3760/cma.j.issn.0254-1424.2017.10.009
- VernacularTitle:尿动力学分析结合膀胱再训练对脊髓损伤后神经源性膀胱功能的影响
- Author:
Meifang SHI
1
;
Meihong ZHU
;
Yaping SHEN
;
Xudong GU
;
Yan SUN
;
Hua WU
;
Ming ZENG
;
Jianming FU
;
Yan LI
Author Information
1. 浙江省嘉兴市第二医院康复医学中心
- Keywords:
Spinal cord injury;
Urodynamic analysis;
Bladder training
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2017;39(10):756-760
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore any effect of combining urodynamic analysis with individualized bladder training in rehabilitating neurogenic bladder dysfunction after spinal cord injury.Methods Urology patients who had suffered a spinal cord injury were randomly divided into an experimental group and a control group.Both groups were given routine drugs and intermittent catheterization based on a urodynamics analysis using the Laborie urodynamic analyzer.The experimental group also received individualized bladder training for eight weeks.The bladder balance time and urinary infection rate of both groups were recorded 2,4,6 and 8 weeks after the intervention.Results After treatment,all of the patients wcrc able to achieve bladder balance,but the average bladder balance time of the experimental group was significantly shorter than that of the patients in the control group with similar injuries.After 2,4,6 and 8 weeks the incidence of urinary infection in the experimental group was significantly lower than in the control group.Moreover,after the treatment the average bladder storage volume (VH2O),bladder compliance (BC),bladder pressure (Pves) and detrusor pressure (Pdet) of both groups were significantly better than before the treatment,but the results of the experimental group were,on average,significantly better than those in the control group.Conclusion Individualized bladder training can effectively promote bladder balance and reduce the risk of urinary infection after spinal cord injury.
