摘要
目的观察靶向性康复模式对卒中后神经源性膀胱功能障碍患者的影响研究。方法采取便利抽样法,选取太仓市第一人民医院卒中病区2020年5月~2021年7月收治的182例卒中后神经源性膀胱功能障碍患者,采用随机数表法分为观察组和对照组,每组91例,对照组予以常规康复模式,观察组予以靶向性康复模式,比较干预前及干预后28 d内患者尿流动力学、膀胱功能、生活质量水平,及记录两组患者并发症发生率。结果干预后,两组患者排尿膀胱压力、最大排尿量、最大尿流率、膀胱最大容量高于同组干预前,且观察组高于对照组;残余尿量低于同组干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。两组患者单日平均排尿量高于同组干预前,且观察组高于对照组;日均排尿次数和日均漏尿次数低于同组干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。两组患者WHO生存质量测定量表(WHOQOL-BREF)各维度评分高于同组干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率显著低于对照组(2.25%vs.10.00%),差异有统计学意义(P<0.05)。结论卒中后神经源性膀胱功能障碍患者应用靶向性康复模式,可有效促进尿流动力学和膀胱功能恢复,避免并发症发生,改善生活质量。
Objective To study on the effect of targeted rehabilitation model on patients with neurogenic bladder dysfunction after stroke.Methods Took convenient sampling method,selectet the first people′s hospital of taicang city stroke ward from May 2020 to July 2021,182 stroke after neurogenic bladder dysfunction patients as the survey data,the baseline data standard patients took random number table method were divided into observation group and control group,each group 91 cases,conventional rehabilitation mode,observation group targeted rehabilitation mode,compared 28 d before and after intervention patients urodynamics,bladder function,quality of life,and recorded the incidence of two groups of complications.Results After the intervention,the bladder pressure,maximum urinary output,maximum urinary flow rate and maximum bladder capacity were higher in both groups than in the pre-intervention and control groups,and the residual urine output was lower than in the pre-intervention and control groups(P<0.05).The WHO quality of life scale(WHOQOL-BREF)scores were higher in both groups than in the pre-intervention and control groups(P<0.05).and the complication rate of 2.25%in the observation group was significantly lower than that of 10.00%in the control group(P<0.05).Conclusion The application of targeted rehabilitation model in patients with neurogenic bladder dysfunction after stroke can effectively promote the recovery of urodynamics and bladder function,avoid complications and improve the quality of life.
作者
张黎红
王雅璇
王驰
李慧
刘婷
钱静静
张红
Zhang Lihong;Wang Yaxuan;Wang Chi(Department of Stroke,Taicang First People′s Hospital,Suzhou University,Suzhou 215400,China)
出处
《中华保健医学杂志》
2023年第4期436-439,共4页
Chinese Journal of Health Care and Medicine
基金
太仓市科技局基础研究计划(TC2020JCYL11)。
作者简介
通信作者:张红,E-mail:ZH20221219@163.com。
