Objective To explore the effect of evidence-based nursing on urinary fistula after total cystectomy with ileal orthotopic neobladder.Methods 60 patients were divided into observation and control group (30 in each group); control group was treated with regular nursing,and observation group was treated with evidence-based nursing: first establishing evidence-based nursing group; propose evidence-based problem according the experience of nursing; then literature searching and obtaining support of evidence; application on the clinical.Results No urinary fistula occurred in the observation group,and the occurring rate was 16.67％ in the control group,and the difference was significant (x2 =5.45,P ＜0.05 ) ; total life quality of EORTCQLQ-C30 and other factors in observation group were higher than those in the control group,including(74.13 ± 11.32)in observation group and (61.56 ± 11.24) in control group,and the difference was significant (t =19.548,P ＜0.05).Conclusions Evidence-based nursing could prevent the urinary fistula after total cystectomy with ileal orthotopic neobladder,and improve the life quality and worth application in clinic.

脾是人体五脏之一,有运化水谷精微,运化水湿,统摄血液的功能,对人体气、血、精、液生理病理变化起着极其重要的作用.女子经、孕、产、育与冲任脉盛衰关系密切,而冲任之脉需后天水谷之精的滋养才能任脉通,太冲脉盛,血海满盈,经期如常,如脾之功能失常则经水紊乱.

1子宫肌瘤致不孕症魏某,女,34岁,干部.1995年5月10日初诊.患者于1987年1月结婚,婚后10个月怀孕,怀孕第4周骑车时被他人撞倒随后流产,因无大的不适感,未做治疗.半年后月经来时量渐增多,自觉手足心发热,服中药治疗后,症状缓解,1990年3月第二次怀孕,怀孕2月无明显诱因再次流产.