王秀艳

高压氧配合间歇导尿在脑卒中神经源性膀胱的疗效观察及护理干预

王秀艳

【摘要】目的观察高压氧配合间歇导尿在脑卒中神经元膀胱的临床疗效，探讨护理干预方法及护理效果。方法选取我院收治的脑卒中神经元膀胱患者44例，采取数字随机法分成观察组和对照组，对照组采取常规护理，观察组在对照组基础上采取护理干预，比较两组临床效果。结果观察组干预后残余尿量少于对照组，差异有统计学意义（P＜0.05）。观察组总满意度高于对照组，差异有统计学意义（P＜0.05）。结论高压氧配合间歇导尿在脑卒中神经元膀胱的临床疗效确切，配合护理干预可提高治疗效果和满意度。

【关键词】高压氧；间歇导尿；脑卒中神经元膀胱；护理干预

Objective To observe the effect of hyperbaric oxygen combined with intermittent urethral catheterization in neuronal bladder after cerebral stroke clinical curative effect，to explore the nursing intervention methods and effect of nursing.Methods 44 cases of patients in our hospital with cerebral stroke neuronal bladder，randomly divided into the observation group and the control group，control group with routine care，the observation group on the basis of control group for nursing intervention，compared two groups of clinical effect.Results In the observation group，the residual urine volume was less than that of the control group，and the difference was statistically significant（P＜0.05）.The total satisfaction of observation group was higher than that of control group，the difference was statistically significant（P＜0.05）.Conclusion Hyperbaric oxygen with intermittent catheterization in neuronal bladder after cerebral stroke clinical curative effect is distinct，combined with nursing intervention can improve the therapeutic effect and satisfaction.

【Key words】Hyperbaric oxygen，Intermittent catheterization，Stroke neuronal bladder，Nursing intervention

神经源性膀胱是脑卒中常见的并发症，患者一般存在尿潴留，因此置管导尿是基本的治疗方法，长期置管不可避免的会发生相关并发症，对患者不利［1-2］，而间歇导尿配合高压氧则可以规避长期置管的问题，本文对其护理干预方法进行探讨，现报道如下。

1　资料与方法

1.1一般资料

选取我院2013年12月～2015年12月收治的脑卒中神经源性膀胱患者44例，经我院伦理委员会批准，采取数字随机法分成观察组和对照组，观察组22例，其中男13例，女9例，年龄在41～80岁，平均年龄（53.9±4.8）岁；对照组22例，其中男14例，女8例，年龄在40～80岁，平均年龄（53.1±5.0）岁；两组患者一般资料比较，差异无统计学意义（P＞0.05）。

1.2方法

1.2.1治疗方法高压氧：采取大型的医用高压氧舱，加压至0.22 Mp，口鼻面罩吸纯氧1 h，休息10 min，减压20 min，每天1次，每10 d为1疗程［3］。……