综合康复治疗5·12汶川地震致脊髓损伤患者神经源膀胱35例临床分析

英文篇名：Comprehensive Rehabilitative Managements of the Neurogenic Bladder of Spinal Cord Injured Patients in 5·12 Wenchuan Earthquake
中文刊名：华西医学
英文刊名：West China Medical Journal
作者：刘颖 ; 丁明甫 ; 何成奇
英文作者：LIU Yin ; DING Ming-fu ; HE Cheng-qi.Department of Rehabilitation Medicine ; Rehabilitation Key Laboratory of Sichuan Province ; West China Hospital ; Sichuan University ; Chengdu 610041 ; China
中文关键词：汶川地震 ; 脊髓损伤 ; 神经源膀胱 ; 康复治疗
英文关键词：Wenchuan earthquake ; spinal cord injury ; neurogenic bladder ; rehabilitation managements
出版日期：2009-03-25
机构：四川大学华西医院康复医学科康复医学四川省重点实验室;
年：2009
期：03
出版单位：华西医学

摘要

目的:探讨5·12汶川地震致脊髓损伤患者神经源膀胱的康复治疗方法。方法:通过对35例脊髓损伤患者神经源膀胱康复治疗的总结回顾,观察采用制定饮水计划,间歇性导尿,药物治疗,膀胱功能训练,手术治疗等方法治疗神经源膀胱的疗效。结果:经过综合治疗,35例患者的神经源膀胱都得到了不同程度的改善。结论:地震致脊髓损伤发生率高,而神经源膀胱是其重大并发症之一,危害患者生命,重建脊髓损伤后患者的膀胱功能对于提高截瘫患者的生活质量,降低死亡率具有十分重要的意义。
Objective:To investigate the comprehensive rehabilitative managements for the neurogenic bladder of spinal cord injured patients in 5·12 Wenchuan earthquake.Methods: Thirty-five spinal cord injured patients with neurogenic bladder were reviewed.The treatment strategy included: establishment of drinking water scheme,ICP,medication,bladder function training,operative treatment.Results: Neurogenic bladders had been improved in varying degrees.Conclusion: The incidence of spinal cord injury in earthquake is high,and one of its complications is neurogenic bladder.It harms patient's life,so it's very important to reconstruct bladder function so as to improve the life quality and reduce mortality.

引文

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