Effect of Safety Bladder Capacity Catheterization on Lower Urinary Tract Function in Patients With Suprasacral Spinal Cord Injury
10.3969/j.issn.1006-9771.2021.06.010
- VernacularTitle:膀胱安全容量导尿法对骶上脊髓损伤患者下尿路功能的影响
- Author:
Da-wei ZHANG
1
;
Hong-jun ZHU
1
;
Xiao-yan FENG
1
;
Yu-hong CHEN
1
;
Yi LIU
1
;
Kang-wu CHEN
2
;
Ping CAI
1
Author Information
1. Department of Rehabilitation Medicine, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215006, China
2. Department of Orthopedics, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215006, China
- Publication Type:Research Article
- Keywords:
spinal cord injury;
intermittent catheterization;
safety bladder capacity
- From:
Chinese Journal of Rehabilitation Theory and Practice
2021;27(6):692-697
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of safety bladder capacity catheterization on lower urinary tract function in patients with supracacral spinal cord injury. Methods:A total of 60 patients with lower urinary tract dysfunction after suprasacral spinal cord injury in our hospital from January to December, 2019 were divided into control group (n = 30) and observation group (n = 30) randomly. Both groups were given intermittent catheterization, the frequency of catheterization was determined according to postvoid residual volume in the control group, while it was according to safety bladder capacity in the observation group. Their maximum destrusor pressure, postvoid residual volume, safety bladder capacity, urinary tract infection and detrusor wall thickness were compared. Results:Eight weeks after intervention, the maximum destrusor pressure and postvoid residual volume decreased, and the safety bladder capacity increased in the observation group (t > 5.623, P < 0.05), and were better than that of the control group (t > 2.242, P < 0.05); the detrusor wall thickness significantly decreased in the observation group (t = 7.871, P < 0.05), and was lower than that of the control group (t = 3.049, P < 0.01). The number of urinary tract infection patients was less in the observation group than in the control group (χ2 = 4.320, P = 0.038). Conclusion:Intermittent catheterization based on safety bladder capacity can improve lower urinary tract function in patients with suprasacral spinal cord injury.
