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。
                                 
                                    
                                  
                       
                           Citation:
                           LIU Yin,DING Mingfu,HE Chengqi. Comprehensive Rehabilitative Managements of the Neurogenic Bladder of Spinal Cord Injured Patients in 5·12 Wenchuan Earthquake. West China Medical Journal, 2009, 24(3): 544-547. doi: 
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		                                    - 1.  黎鳌,盛志勇,王正国.现代战伤外科学[M].北京:人民军医出版社,1998:856. [2] TANAGHO E A, SCHMIDT R A. Electrical stimulation in the clinical management of the neurogenic bladder[J]. J Urol,1988,140(2):1331..		                                    
		                                    
- 2.  周天健,李建军.脊柱脊髓损伤现代康复与治疗[M].北京:人民卫生出版社,2005:961..		                                    
		                                    
- 3.  鹿尔训,沈稚舟,方天祥,等.临床神经泌尿学[M].北京:人民卫生出版社,1984:220-229..		                                    
		                                    
- 4.  吴阶平.泌尿外科[M].济南:山东科学技术出版社,1993:832-836..		                                    
		                                    
- 5.  WYNDAELE J J. A critical review of urodynamic investigation in spinal cord injured patients[J]. Paraplegia,1984,22:138-141..		                                    
		                                    
- 6.  KYLE J, WEL D, ROGER R. Dmochowski effect of bladder management on urological complication in spinal cord injuried patients[J]. J Urol,2000,163:768..		                                    
		                                    
- 7.  方玉美,徐祖豫.间歇导尿术的护理管理[J].中国康复理论与实践,1999,5(4):98..