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目的观察早期综合康复治疗对脊髓损伤致神经源性膀胱患者的影响。方法 50例脊髓损伤导致神经源性膀胱患者分为对照组和观察组,每组各25例。对照组行常规一般药物治疗及留置尿管导尿;而观察组行常规一般药物治疗及早期行综合康复治疗,包括运动疗法、普通针刺、膀胱康复、心理康复等。结果治疗8周后观察组患者膀胱恢复自主排尿时间明显缩短、泌尿系感染发生率明显减少,与对照组比较,差异具有统计学意义(P<0.05)。结论早期综合康复治疗能够使脊髓损伤患者尽早恢复自主排尿功能,同时减少泌尿系感染等并发症的发生,有效提高了患者生活质量。
Objective To observe the effect of early comprehensive rehabilitation on patients with neurogenic bladder caused by spinal cord injury. Methods 50 cases of spinal cord injury led to neurogenic bladder patients were divided into control group and observation group, 25 cases in each group. The control group underwent routine general medical therapy and indwelling catheterization; while the observation group underwent routine general medical therapy and early comprehensive rehabilitation, including exercise therapy, general acupuncture, bladder rehabilitation and psychological rehabilitation. Results After 8 weeks of treatment, bladder urination time of patients in observation group was significantly shortened and the incidence of urinary tract infection was significantly decreased. The difference was statistically significant (P <0.05). Conclusion Early comprehensive rehabilitation can make patients with spinal cord injury recover autonomic urinary function as soon as possible and reduce the incidence of complications such as urinary tract infection and effectively improve the quality of life of patients.