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KMID : 0371619940100010131
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Journal of Wonkwang Medical Science
1994 Volume.10 No. 1 p.131 ~ p.141
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A Study on Management of Neurogenic Bladder in Spinal Cord Injury Patients
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Lee Seog-Jae
Park Dong-Sik
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Abstract
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A study on spinal cord injury patients with neurogenic bladder dysfunction using sterile intermittent catheterization was conducted. The purpose of this study was to evaluate the effect of bladder training in neurogenic bladder patients for genitourinary complication, and to achieve balanced bladder. The subjects were 19 spinal cord injury patients with neurogenic bladder dysfunction who were admitted to the Department of Rehabilitation Medicine of Wonkwang University Hospital from March 1994 to August 1994. The results were as follows: 1) Among the 19 patients ranging in age from 19 to 60 years old, the most common age group was 30-39 years old, and the subjects conisisted of 15 male and 4 female patients. 2) Of 15 patients with spinal cord injury on and above T10. 12 patients had detrusor hyperreflexia. Whereas areflexia in spinal cord injury below T10 was found in 3 out of 4 patients. 3) Balanced bladder was achieved in 18 out of 19 patients, and the duration of intermittent catheterization was 47 days in the complete injury patients and 15 days in the incomplete injury patients. 4) Providencia rettgeri was the most common causative organism of urinary tract infection. 5) The prevalence of symptomatic urinary tract infection was 42.1% in 19 patients. 6) The urologic complication caused by neurogenic bladder in spinal cord injury patients was found in 2 out of 19 patients( 10.5%).
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KEYWORD
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