干扰电治疗仪改善糖尿病神经原性膀胱逼尿肌无力:与电针治疗比较  

Interferential current therapy versus electroacupuncture for diabetic neurogenic bladder adynamia of detrusor muscle

作　　者：范小艳[1] 张自茂[1] 刘景辉[1] 

机构地区：[1]佛山市第一人民医院康复科,广东省佛山市528000

出　　处：《中国组织工程研究与临床康复》2007年第44期8963-8965,共3页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：目的:观察干扰电治疗仪治疗糖尿病神经原性膀胱逼尿肌无力的疗效,并与电针治疗比较。方法:选择2006-01/10佛山市第一人民医院康复科、内分泌科住院的糖尿病神经原性膀胱患者60例。随机分成对照组30例和治疗组30例,所有患者对实验和治疗知情同意。治疗组用日本米拉多公司生产的SD-21V干扰电治疗仪进行治疗,每次治疗25min,1次/d,每周6次,共治疗20次。对照组采用汕头市医用设备厂公司生产的805-AⅡ型电针仪治疗。穴位取双侧三阴交、膀胱俞、次髎,使用疏密波,15Hz,电流强度为耐受量,留针30min,1次/d,每周6次,共治疗20次。治疗前后测定尿流动力学指标、日平均排尿次数及尿量情况。结果:60例患者均进入结果分析。①尿流动力学的变化:治疗组最大膀胱容量、最大尿道闭合压、最大尿流率均大于对照组(P<0.01￣0.001),残余尿少于对照组(P<0.001)。②日平均排尿次数及尿量情况:治疗组日平均排尿次数、日平均单次尿量、日单次最大排尿量均大于对照组(P<0.05￣0.001)。结论:两种方法治疗糖尿病神经原性膀胱逼尿肌无力均有显著作用,干扰电疗法效果更好。AIM： To study the effects of interferential current therapy on patients with diabetic neurogenic bladder adynamia of detrusor muscle, and compare with the electroacupuncture. METHODS： Totally 60 patients with diabetic neurogenic bladder were enrolled at Department of Rehabilitation, Department of Endocrinology, Foshan First People＇s Hospital from January to October 2006. Sixty patients were divided into treatment group and control group with 30 in each group. All patients signed the informed consent. Patients in the treatment group received interferential current therapy with SD-21V produced by Japanese Miladuo Company, once for 25 minutes, once a day, 6 times in a week, totally 20 times. Patients in the control group received electroacupuncture with 805-A Ⅱ apparatus produced by Shantou Medical Equipment Company. These patients were acupunctured at bilateral Sanyinjiao （SP 6）, Pangguangshu （BL 28） and Ciliao （BL 32） with 15 Hz disperse-dense wave, current intensity as tolerance dose, retaining needle for 30 minutes, once a day, 6 times in a week, totally 20 times. Urodynamic indexes, daily isuria times and urinary volume were tested before and after the treatment. RESULTS： Totally 60 patients were involved in the result analysis. ①Maximum bladder capacity, maximal urethral closure pressure （MUCP） and maximal urinary flow rate were all higher in the treatment group than the control group （P 〈 0.01-0.001）, but residual urine level was lower than the control group （P 〈 0.001 ）. ②Daily isuria times, daily mean single urinary volume and daily maximal single urinary volume were higher in the treatment group than the control group （P 〈 0.05-0.001）. CONCLUSION： These two methods for diabetic neurogenic bladder adynamia of detrusor muscle have significant effects, especially interferential current therapy.

关 键 词：于扰电 糖尿病神经原性膀胱 逼尿肌无力 

分 类 号：R444[医药卫生—诊断学]