Objective To explore the clinical efficacy of motor imagery therapy in treating neurogenic bladder dysfunction after traumatic spinal cord injury (SCI).Methods Seventy patients with neurogenic bladder control problems after SCI were randomly divided into an experimental group and a control group using a random number table.All patients of the two groups were given general bladder function intervention,including intermittent catheterization,inducing voiding by reflex detrusor contraction,Credé's maneuver urination,etc.Additionally,the patients in the experimental group were given supplemental motor imagery therapy.The times of urinary incontinence,average bladder capacity,maximum voided volume and residual urine volume of the two groups were measured before treatment and at 2 months after treatment.The two groups' outcomes were quantified using a quality of life (QOL) score.Results Incidents of urinary incontinence,average bladder capacity,residual urine volume,voided volume and the QOL score showed significant improvements in both groups,but the experimental group showed better improvements than the control group.The differences were statistically significant.Conclusion The combination of general bladder function intervention with motor imagery therapy can improve the voiding function of patients with neurogenic bladder disorders after SCI more significantly and enhance their QOL.

Objective To investigate the effect of vertical bed training on the extubation time and pulmonary infection of patients with tracheotomy in rehabilitation department .Methods Sixty-five new patients with tracheotomy and pulmonary infection more than a month were randomly divided into the control group (33 cases) and the observation group (32 cases) by stratified block randomization .All the patients received routine nursing and rehabilitation therapy , in addition, the patients in the observation group received electrodynamic vertical bed training .The decannulation rate , cure rate of pulmonary infection , sputum culture negative rate and the clinical pulmonary infection scale ( CPIS) were compared.Results One patient was lost in each of the groups during follow up .After the nursing intervention , the CPIS of the observation group was significantly lower than that in the control group (t=9.276,6.609, respectively;P<0.01).22 patients (71.0%) in the control group removed the tracheal tube;20 patients (64.5%) cured of pulmonary infection;15 patients (48.4%) had negative sputum culture;the sare of CPIS was (2.8 ±1.1), those values of the control group were 43.8%, 37.5%, 25.0%and (3.9 ±1.5).There were significant differences between groups ( t/χ2 =4.76,4.60, 6.22,3.36, respectively;P<0.05).Conclusions Vertical bed training can reduce the time of tracheostomy , and help in control the pulmonary infection of patients with tracheotomy in rehabilitation department .

Objective To investigate the influencing factors of using active imagery therapy in spinal cord injury patients with neurogenic bladder. Methods Ninety-two spinal cord injury patients were arranged for bladder function training by active imagery therapy. According to the training effect, they were divided into two groups, and a total of eleven factors were observed including age, education level, time of rehabilitation intervention, the type of spinal cord injury and etc. The logistic regression was used to analyze the possible influence factors of the two groups. Results The analysis results indicated that there were significant differences in education level, depression state, the type of neurogenic bladder, rehabilitation time and course of treatment which were affect the bladder training (χ2 =5. 851, 6. 903, 6. 901, 30. 597, 4. 211,respectively;P<0. 05). The results showed that below the junior college level, HAMD≥17, time of rehabilitation intervention≥60 d, treatment course <8 weeks, incontinence of urine were the adverse factors. Conclusions Education level, depressive state, time of rehabilitation intervention, treatment course, type of neurogenic bladder were the prognostic factors in spinal cord injury patients who was arranged for bladder function training by active imagery therapy. Aiming at these factors, medical staff should provide necessary guidance to improve the results of treatment.

Objective? To explore the clinical effects of intermittent oral gastrogavage in aged patients with dysphagia. Methods? Totally 66 aged patients with dysphagia hospitalized in the Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital between May 2016 and February 2018 were selected using convenient sampling and divided into the treatment group and the control group according to the random number table. Patients in the control group received nasogastric tube feeding, while patients in the treatment group received intermittent oral gastrogavage. The degree of aspiration, the effects on deglutition function and nutrition were compared between the two groups. Finally, totally 60 patients in the treatment group (n=30) and the control group (n=30) completed the study. Results? After 3 months, patients in the treatment group showed Class Ⅰ-Ⅱ aspiration, while 3 patients in the control group were found with Class Ⅲ or Ⅳaspiration (Z=-3.227,P＜ 0.05). The rehabilitation efficiency of deglutition function of the treatment group was higher than that of the control group (Z=-3.158,P＜0.05). The serum albumin and the pro-protein of the treatment group was (47.17±3.28) g/L and (0.32±0.08) g/L respectively, both higher than those of the control group (t=-10.500, 3.677; P＜ 0.05). Conclusions? Intermittent oral gastrogavage can enhance the patients' deglutition function, reduce their aspiration levels and improve their nutritional status, which is worth promoting in clinical practice.

Objective To explore the effect of continuous nursing on patients with spinal cord injury neurogenic bladder who were discharged from the hospital after spercutaneous minimal invasive bladder fistulization. Methods Totally 43 patients with spinal cord injury and underwent percutaneous minimal invasive bladder fistulization were divided into the control group and the observation group by random digital table method, with 23 cases in each group. Patients in the control group received routine nursing, while patients in the observation group received continuous nursing based on the routine nursing. The level of colostomy adaptation and the incidence of complications related to catheter in two groups were observed. Results Six months after nursing intervention, the score of colostomy adaptation level in the observation group was significantly superior to that in the control group (P<0.01); in the intervention group, the incidence of urinary tract infection, skin infection around the stoma;the incidence of complications such as catheter slippage, catheter blockage, catheter breakage, were all lower than that in the control group ( P<0. 05 ) . Conclusions The continuous nursing intervention can improve the level of colostomy adaptation and reduce the incidence of catheter related complications.