中西医结合护理 (Jul 2023)
Application of umbilical moxibustion combined with intermittent catheterization in rehabilitation nursing of patients with neurogenic bladder after stroke (脐灸联合间歇性导尿在中风后神经源性膀胱患者康复护理中的应用)
Abstract
Objective To investigate the effect of umbilical moxibustion combined with intermittent catheterization in rehabilitation nursing of patients with neurogenic bladder after stroke. Methods A total of 40 patients with neurogenic bladder after stroke were divided into control group and observation group, with 20 patients in each group according to random number table. The control group was given intermittent catheterization, and the observation group was given umbilical moxibustion combined with intermittent catheterization. After 4 weeks of intervention, the clinical efficacy, residual urine volume, bladder volume and urinary tract infection were compared between the two groups. Results The overall effective rate in the observation group was higher than that in the control group (95. 00% vs. 75. 00%, P＜0. 05). Lower residual urine volume and higher bladder volume were observed in both two group after intervention, and better outcomes of residual urine volume and higher bladder volume were associated with combined treatment of umbilical moxibustion and intermittent catheterization(P＜0. 01). The incidence of urinary tract infection in observation group was lower than that in control group(5. 00% vs. 25. 00%, P＜0. 05). Conclusion Umbilical moxibustion combined with intermittent catheterization can effectively improve the clinical symptoms and bladder function of patients with neurogenic bladder after stroke, promote patients to urinate autonomously and improve the quality of life. (目的 探讨脐灸联合间歇性导尿在中风后神经源性膀胱患者康复护理中的应用效果。方法 选择40例中风后神经源性膀胱患者, 按随机数字表分为对照组和观察组, 各20例。对照组给予间歇性导尿护理, 观察组在对照组基础上增加脐灸护理。干预4周后比较2组临床疗效、残余尿量及膀胱容量和尿路感染情况。结果 观察组总有效率95. 00%(19/20), 高于对照组的75. 00%(15/20), 差异有统计学意义(P＜0. 05)。干预后, 两组残余尿量较干预前降低, 膀胱容量较干预前升高, 且观察组改善幅度优于对照组, 差异有统计学意义(P＜0. 01)。观察组尿路感染发生率5. 00%(1/20), 低于对照组的25. 00%(5/20), 差异有统计学意义(P＜0. 05)。结论 脐灸联合间歇性导尿护理能够有效改善中风后神经源性膀胱患者临床症状及膀胱功能, 促进患者自主排尿, 提高生活质量。)
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