Training of bladder function 1. Importance of bladder function training (1) Urinary tract infection, pyelonephritis, uremia and even life-threatening are prone to occur after paraplegia due to urinary dysfunction. (2) Urinary dysfunction brings great inconvenience to daily life. It causes a burden on the minds of paraplegics. 2, bladder function training methods (1) Continuous drainage: traumatic paraplegic people in the acute phase within a week of urinary disorders, M continuous drainage for z, under sterile sterilization insert catheter, after leaving the catheter in place, let it open, let the urine flow naturally, its purpose to keep the bladder both empty state, to avoid bladder muscle in a tension-free state too much strain and fatigue. (2) Intermittent drainage: Applicable to one week after injury. In order to keep the bladder in a certain capacity and prevent bladder decompensation, the catheter is clamped in place and opened every 3-4 hours to drain urine, and the bladder must be emptied to avoid excessive urine its purpose is: to make the bladder Figure 6 Continuous drainage . : The catheter is left in the bladder and the urine is allowed to flow naturally. The bladder develops the habit of rhythmic filling and emptying to induce reflexive bladder contraction . Allow early recovery of bladder function. (3) Urinary manipulation: In order to avoid repeated catheter insertion, which increases the chance of urinary tract infection, the catheter is removed and the paraplegic is allowed to urinate on his or her own. Massage the lower abdomen with your hands, with light and heavy force. Intermittent drainage of urine. (4) Reflex urination training: After the above steps, most paraplegics can urinate on their own, but it is not controlled by the brain, therefore, urination must be trained as a conditioned reflex, and urination awareness training should be carried out at each time of urination to make normal urination movements, such as grasping the inner thigh or lower abdomen, and stimulating the inner thigh whenever urination occurs. Inner thighs. After a period of training, a conditioned reflex will be formed. That is, when the bladder is full. Stimulate the inner thighs to be able to discharge urine. There are also some people who will have the aura of a full bladder, such as sweating, rapid heartbeat, etc. Whenever the aura appears, you can stimulate the inner thigh or lower abdomen to cause urination. Training of rectal function Intestinal paralysis after spinal cord injury can cause constipation, which affects the daily life of paraplegics. This affects the daily life of paraplegics and abdominal discomfort. The following methods are used to solve the problem: 1. Paraplegics have regular bowel movements every day; preferably in the morning, and if they cannot defecate, they can wear gloves to massage the anus and rectum. Help the bowel discharge. 2, diet with attention: eat more food with fiber, such as vegetables and fruits. 3, appropriate to take laxative, increase intestinal peristalsis, so that the stool is easy to discharge, such as if the guide, paraffin oil, etc. 4, dry stool can be used glycerin suppositories, open cork squeezed into the anus, if necessary, soap and water enema.