骶3神经电针治疗脊髓损伤后逼尿肌反射亢进的临床效果  

Effect of Electroacupuncture on Nerve Root of Sacral Spinal Nerve 3 for Detrusor Hyperreflexia after Spinal Cord Injury

作　　者：王彦彬[1] 徐智慧[1] 诸靖宇[1] 黄邦高[1] 周鹏[1] 

机构地区：[1]杭州市第三人民医院泌尿外科,浙江杭州市310009

出　　处：《中国康复理论与实践》2014年第3期224-225,共2页Chinese Journal of Rehabilitation Theory and Practice

基　　金：杭州市科技局项目(No.20110833B15)

摘　　要：目的观察骶3神经根电针治疗脊髓损伤后逼尿肌反射亢进的疗效。方法采用骶3神经根电针治疗脊髓损伤后逼尿肌反射亢进的患者32例,观察治疗前和治疗8周后的排尿日记、尿动力学检查和生活质量评分。结果治疗后,患者排尿次数、漏尿次数、充盈末期逼尿肌压减少(P<0.05),残余尿量无明显改变(P>0.05),排尿量、最大膀胱容量、膀胱顺应性、生活质量评分较治疗前改善(P<0.05)。结论骶3神经根电针治疗脊髓损伤后逼尿肌反射亢进疗效满意。Objective To observe the effect of electroacupuncture on nerve root of sacral spinal nerve 3 for detrusor hyperreflexia after spinal cord injury. Methods 32 spinal cord injury patients with detrusor hyperreflexia accepted electroacupuncture at sacral 3 nerve root. Their voiding diary, urodynamics and quality of life were observed before and 8 weeks after treatment. Results The frequency of urination, urine leakage, and filling the final detrusor pressure decreased （P〈0.05）, and the urine output, maximum bladder capacity, bladder compli-ance, score of quality of life increased （P〈0.05） after treatment. There was no significant change in residual urine volume after treatment （P〉0.05）. Conclusion Electroacupuncture on nerve root of sacral spinal nerve 3 is effective on detrusor hyperreflexia after spinal cord injury.

关 键 词：脊髓损伤 逼尿肌反射亢进 骶神经 电针 尿动力学 

分 类 号：R651.2[医药卫生—外科学]