Effects of different catheterize ways on the bladder rehabilitation of spinal cord injury patients
10.3760/cma.j.issn.1008-6315.2013.10.023
- VernacularTitle:不同导尿方式对脊髓损伤患者膀胱康复的影响
- Author:
Shuixi CHEN
- Publication Type:Journal Article
- Keywords:
Catheterize;
way;
Spinal;
cord;
injury;
Bladder;
rehabilitation;
Influence
- From:
Clinical Medicine of China
2013;29(10):1078-1080
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of different catheterize ways on the bladder rehabilitation of spinal cord injury patients and its clinical application.Methods One hundred and eight patients with spinal cord injury were divided into 3 groups according to the different catheterization ways:intermittent catheterization group,the indwelling catheterization group and bladder made fistula group.The micturition function recovery,complications and urine dynamics index of the three groups were recorded.Results The total effective rate were 94.44％ (34/36),72.22％ (26/36),58.33％ (21/36) respectively in intermittent catheterization group,indwelling catheterization group and bladder made fistula group,and the difference was statistically significant (x2 =36.556,P =0.000).Complication rates were 2.78％ (1/36),22.22％ (8/36) and 27.78％ (10/36) respectively in intermittent catheterization group indwelling catheterization group,bladder made fistula group,and the difference was statistically significant (x2 =50.333,P＜0.05).In intermittent catheterization group,the biggest bladder capacity was (258.97 ± 32.15) ml,maximum urethral pressure was (54.18 ± 8.74) cm H2O,he biggest closure pressure was (32.58 ± 8.97) cm H2O and urinary function length was(6.28 ± 1.35) cm.As for Indwelling catheterization group,biggest bladder capacity was(178.18 ± 49.35) ml,maximum urethral pressure was (36.11 ± 10.12) cm H2O,the biggest closure pressure was(21.69 ± 10.45) cm H2O and urinary function length was(4.21 ± 1.57) cm; In Bladder made fistula group,the biggest bladder capacity,maximum urethral pressure,the biggest closure pressure and urinary function length were (154.88 ± 42.84) ml,(33.45 ± 11.07) cm H20,(20.12 ± 10.88) cm H2O,(4.02 ± 1.61) cm,and the differences of regarding the all above indices were significant among three groups (F =60.759,45.595,16.146,24.670 respectively,P ＜ 0.05).Conclusion Intermittent catheterzation way was promoted the bladder function recovery,reduced complications effectively for patients with spinal cord injury.Therefore it was an effective method for patients in terms of the bladder rehabilitation.
