Objective To investigate the relationships between family function, anxiety and depression in patients with spinal cord injury. Methods Totally 71 patients with spinal cord injury treated in a rehabilitation center of a hospital in Beijing between October 2017 and April 2018 were investigated using the demographic information questionnaire, disease related information sheet, the Family FAD, the Self-Rating Anxiety Scale (SAS), and the Self-Rating Depression Scale (SDS). Results The family function score of SCI patients was (2. 19 ± 0. 23), the average score of anxiety was (56. 04 ± 13. 81), and the average score of depression was (60. 04 ± 14. 21), so there was a significant correlation between the depression level and the anxiety level (r = 0. 66, P ＜ 0. 001).Family function scores of SCI patients were positively correlated with anxiety and depression, and the correlation coefficients were0. 489 and 0. 504 respectively (P ＜ 0. 01). Conclusions The results suggest that providing sufficient love and care may help prevent and relieve anxiety and depression among patients with spinal cord injury.

Objective To compare the clinical efficacy of telectrovaporization and bipolar plasma kinetic resection in the treatment of benign prostatic hyperplasia.Methods The clinical data of 120 patients who underwent prostate surgery in Beijing Rehabilitation Hospital,Capital Medical University from January 2013 to January 2016 were analyzed retrospectively.60 patients treated with transurethral bipolar plasma kinetic resection were selected as the electric resection group,60 patients treated with 2 μm laser vaporization cutting were selected as the laser group.The operation time,intraoperative bleeding,amount of irrigation fluid,postoperative bladder irrigation time,foley catheter indwelling time,time to ambulation,and average hospital stay,symptoms improvement situation of two groups were analyzed statistically.Results The international prostate symptom score (IPSS),life quality score (QOL),maximum urinary flow rate (Qmax),residual urine (RU) volume before and after operation between the two groups had no significant differences (P ＞ 0.05).The IPSS score,QOL score,Qmax and RU after operation in the two groups were all better than those before operation (P ＜ 0.01).The operation time of laser group was shorter than that of electric resection group (P ＜ 0.05),intraoperative amount of irrigation fluid and blood loss was less than that of electric resection group (P ＜ 0.01),the postoperative bladder irrigation time,foley catheter indwelling time and average hospital stay of laser group was shorter than those of electric resection group (P ＜ 0.01 or P ＜ 0.05).Conclusion Transurethral 2 μm laser and bipolar plasma kinetic resection are both effective methods for the treatment of benign prostatic hyperplasia,but transurethral 2 μm laser has shorter operative time,less intraoperative blood loss,less irrigation saline and shorter postoperative bladder irrigation time,indwelling catheter time,and hospital stay,which has obvious clinical advantages.

Objectives:To study the value of the detrusor urine leakage point pressure(detrusor leak point pressure,DLPP) and the bladder safe capacity(safe bladder capacity,SBC) in patients with neurogenic bladder undergoing intermittent catheterization.Methods:From July 2015 to July 2016 40 patients with neurogenic bladder in our hospital accept intermittent catheterization.Randomly,cases were divided into observation group and control group with 20 cases in each group.The control group were given conventional intermittent catheterization,according to the amount of residual urine to determine the number of intermittent catheterization.Observation group was processed to blood test to check kidney function by parallel urinary tract ultrasound images and urine dynamics test to determine the upper urine tract,at same time,the SBC and DLPPwere measured,intermittent catheterization,was oerformed on the basis of water project and the regularity of voiding diary,the amount of urinary bladder was measured prior to the SBC time,the intermittent catheterization was performed strictly in SBC.40 cases with urinary leakage accepted pelvic floor muscle training on bed.All patients underwent 1 year of intervention,and all underwent the examination of the urine dynamics [including DLPP,SBC,residual urine volume(residual urine volume,RUV)],renal function examination (including blood urea nitrogen,creatinine),self-assessment lists of anxiety(self-rating anxiety scale,SAS),self rating scale for depression(self-rating depressive scale,SDS),the SF-36 quality of life scale(including diet,mental,and psychological sleep four dimensions) score to assess the patient's quality of life prior to intervention,and intervention after 1 year respectively.Results:Patients in each group of intervention 1 year later had obviously improved of DLPP,SBC,RUV,blood urea nitrogen,creatinine,SAS and SDS scores and diet,mental,sleep,psychological score than those before intervention(P＜0.05).Before intervention,the above indexes between the two groups showed no statistical difference(P＞0.05).Intervention after 1 year,DLPP,RUV in observation group were significantly lower than those in the control group,SBC was significantly higher than control group;Blood urea and creatinine were significantly lower than the control group;SAS,SDS scores were significantly lower than the control group,diet,mental,sleep,the psychological scores were significantly higher than that of control group(P＜0.05).Conclusions:For patients with neurogenie bladder to inspect,DLPP and SBC test are help to guide intermittent catheterization,which can effectively improve the patient's urine dynamics index,promote the recovery of renal function,while eliminating patients psychological feelings,and can significantly improve the quality of life.

神经源性膀胱是由于控制排尿功能的中枢神经系统或周围神经受到损害而引起的膀胱尿道功能障碍[1],是脊髓损伤的常见合并症,中国每年新增加病例约5万人[2-3],临床主要表现为尿潴留、尿失禁、残余尿量增多等,如果处理不当可能造成膀胱输尿管反流、肾积水、泌尿系统感染和肾功能减退或衰竭,严重影响患者的生活质量,甚至危及患者的生命.国内外研究4-5]表明,间歇性扩张膀胱,可保持膀胱容量和恢复膀胱的收缩功能.目前常选用留置导尿定时夹闭-开放尿管的潮式尿液引流的方法训练膀胱功能,但上述方法存在一定弊端,如不能精准确定间隔时间.

目的：了解康复医院住院患者的康复护理教育的现状。方法采用自行设计的调查问卷，对343名在院患者进行调查，并对结果进行分析。结果康复医院的住院患者对康复护理教育有一定了解，希望定期进行康复护理教育，康复护理教育的方式要依据患者的病情和生活习惯来进行。住院患者出现并发症，需要暂停康复治疗，降低康复的疗效。康复医院的住院患者康复护理教育与住院患者现实需求之间仍存在一定差异。结论康复护理教育与并发症之间有一定关系，患者可以通过康复护理教育降低并发症的发生；康复护理教育在降低并发症的同时可以增加康复时间和康复效果，康复护理教育可以增加患者对康复的信心，康复护理教育对住院患者是有必要的，康复护理教育还可以提高患者满意度及护理安全质量。总之，康复医院住院患者的康复护理教育需要极大提高。

Objectives:To explore a more effective disinfection method for spinal cord injury patients who need intermittent catheterization,the urinary tract infection rates of the two intermittent catheterization methods for male spinal cord injury patients with sexual and urination disorder were comparatively analyzed.Methods:64 spinal cord injury patients with sexual and urination disorder were randomly assigned into two groups,the sterile intermittent catheterization disinfection group (the control group)and the improved sterile intermittent catheterization disinfection group (the observation group).The urinary tract infection rates of the two groups at days 1,15 and 30 ere compared. Results:62 patients completed the experiment;2 patients in the control group had fever during the experiment,and were changed to continue indwelling catheterization;no testicular and epididymitis occurred in the two groups.The u-rinary tract infection rates were 65.6% and 66.7% at day 1;26% and 60% at day 15;28.1% and 66.7% at day 30 in the observation group and the control group respectively.The differences in urinary tract infection were statistically significant (P <0.05)between the observation group and the control group;the differences in urinary tract infection were all statistically significant in the improved sterile intermittent catheterization disinfection group between days 1 and 15,or days 1 and 30(P <0.05).Conclusions:Improved sterile catheterization disinfection method is applied to spinal cord injury patients with sexual and urination disorder,which can significantly reduce the incidence of urinary tract infection.Safe and effective for urethral disinfection,it is worthy of clinical promotion.