关键词: 脑梗死; 间歇导尿; 生物反馈电刺激; 尿潴留

Abstract:

Objective To observe the cerebral infarction after urinary retention in patients with urinary flow dynamics related indicators of changes and investigate the intermittent catheterization combined with biofeedback electrical stimulation treatment effectiveness and mechanism of action. Methods A total of 98 patients with acute cerebral infarction with urinary retention were selected from January 2014 to January 2016. General inspection was performed on all patients. The patients were divided into treatment group (n =48) and control group (n =50) according to patients and/or the wishes of the families. The control group received sterile intermittent catheterization combined with bladder function training treatment. The treatment group received biological feedback electric stimulation therapeutic instrument based on the treatment of control group. Two groups were measured at the time of one week before and after treatment respectively, including subjective life quality of 1 W (SQLP) and urine flow dynamics. Results Either group of urinary retention was gradually improved. The self-voiding time of treatment group after treatment for 7 times was earlier than that of the control group (P <0.01). The bladder capacity, residual urine volume and maximum urinary flow rate of treatment group were better than control group (P <0.01). Conclusion Intermittent catheterization combined with biofeedback and electrical stimulation could better improve status of urinary retention at early stage after cerebral infarction.

Key words: Cerebral infarction; Intermittent catheterization; Biofeedback electrical stimulation; Urinary retention