ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾 疾病预防与控制 Disease Prevention and Control 医学学术期刊 月刊
2026-07-048 检验与方法 2026, 2(07): 189-192

床上排尿训练联合热敷按摩干预在脑卒中病房术后患者中的应用

贵州医科大学附属医院

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摘要

目的 探讨床上排尿训练联合热敷按摩干预在脑卒中病房术后患者中的应用效果。方法 选取2023年2月至2025年2月本院收治的脑卒中术后患者60例。随机数表法将患者分为观察组和对照组,各30例。对照组实施常规护理(热敷、按摩及流水声辅助排尿),观察组在原对照基础上,联合实施系统化的床上排尿训练。比较两组排尿日记及效果。结果 两组排尿日记较干预前均明显改善(P<0.05)。干预后,观察组单次尿量高于对照组(P<0.05)。观察组总有效率为86.67%,高于对照组63.33%(P<0.05)。结论 床上排尿训练联合热敷按摩干预能促进脑卒中术后患者的排尿功能恢复,总体效果良好。

Abstract

Objective To investigate the effect of bedside bladder training combined with warm compress and massage intervention in postoperative stroke patients. Methods Sixty patients who were admitted to our hospital after undergoing stroke surgery(from February 2023 to February 2025) were selected. Using the random number table method, the patients were divided into the observation group and the control group, with 30 cases in each group. The control group was treated with routine rehabilitation care(warm compresses, massage, and auditory stimulation with running water to assist urination), while the observation group received systematic bedside bladder training in addition to routine care. The voiding diary parameters, and overall efficacy were compared between the two groups. Results Both groups showed significant improvements in voiding diary after intervention compared with baseline(P<0.05). After the intervention, the single urine volume of the observation group was higher than that of the control group(P<0.05). The total effective rate of the observation group was 86.67%, which was higher than that of the control group(63.33%, P<0.05). Conclusion Bedside bladder training combined with warm compress and massage intervention significantly promoted the recovery of urinary function in postoperative stroke patients and demonstrated favorable overall efficacy.

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[1]李琴.床上排尿训练联合热敷按摩干预在脑卒中病房术后患者中的应用[J].疾病预防与控制,2026,2(07):189-192.