目的：探究腹腔镜膀胱全切原位回肠代膀胱患者自主排尿功能的训练方法与效果。方法对我院2013年6月～2015年10月接收的37例腹腔镜膀胱全切原位回肠代膀胱患者进行自主排尿功能的训练，探究干预的效果。结果20例患者经过锻炼，可以正常进行排尿，其余17例患者存在一定的尿失禁情况，对患者进行闹钟定时提醒，患者情况可以得到改善。结论腹腔镜膀胱全切原位回肠代膀胱患者自主排尿功能的训练可以循序渐进，使患者逐渐能够进行定时排尿，从而逐步改善患者尿失禁的情况，但该方法对于患者的自主依从性要求较高，因而需要我们加强监督，帮助患者早日恢复。%Objective To explore the training methods and effects of self micturition function of the patients with bladder in situ. Methods In our hospital from June 2013 to October 2015 received 37 cases of laparoscopic radical cystectomy with orthotopic ileal neobladder patients with voiding function training, to explore the effect of intervention. Results 20 cases of patients with normal urination, 17 cases of patients with urinary incontinence, alarm from time to time to remind patients to improve the situation. Conclusion Automatic micturition function training can follow in order and advance step by step, so that patients gradually to timed voiding, so as to gradually improve the patients with urinary incontinence, but the method for patients with independent compliance requirements higher. Therefore, it is necessary to us to strengthen supervision, as soon as possible to help patients recover.
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