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目的:评价穴位按摩量化护理方案在脊髓损伤性癃闭护理中的临床应用效果。方法:采用随机数字表法将98例患者随机分为实验组50例和对照组48例,对照组给予间歇导尿+常规治疗,实验组在此基础上实施穴位按摩量化护理方案。结果:实验组患者治疗后1、2、3个月的SF-36评分分别为(61.12±14.16)分、(87.93±15.05)分、(110.34±16.19)分,与对照组比较有统计学差异(P<0.05)。治疗后实验组患者恢复自主排尿时间(23.52±11.51)天、残余尿量(80.96±57.72)m L、膀胱容量(420.62±60.15)m L,均优于对照组(P<0.05);实验组患者发生尿路感染30例,明显低于对照组(P<0.05);实验组临床治疗总有效率高于对照组(P<0.01)。结论:穴位按摩量化护理方案的实施,为脊髓损伤性癃闭患者尽早恢复自主排尿功能,减少泌尿系统感染,提高生活质量开辟新思路和新途径。
Objective: To evaluate the clinical application of Acupressure Quantification Nursing Scheme in spinal cord injury. Methods: A total of 98 patients were randomly divided into experimental group (n = 50) and control group (n = 48). The control group was given intermittent catheterization and routine treatment. The experimental group received acupoint massage quantitative nursing program. Results: SF-36 scores of the experimental group were (61.12 ± 14.16) points, (87.93 ± 15.05) points and (110.34 ± 16.19) points respectively at 1, 2, and 3 months after treatment, which were significantly different from the control group (P <0.05). After treatment, the patients in the experimental group recovered autonomic urination time (23.52 ± 11.51) days, the residual urine volume (80.96 ± 57.72) m L and the bladder volume (420.62 ± 60.15) m L were better than the control group (P <0.05) The incidence of urinary tract infection in 30 patients was significantly lower than that in control group (P <0.05). The total effective rate of clinical trial in experimental group was higher than that in control group (P <0.01). Conclusion: The implementation of acupoint massage quantitative nursing program will open up new ideas and new ways for early recovery of spontaneous voiding function, reduction of urinary tract infection and improvement of quality of life in patients with spinal cord injury.