脊髓损伤后神经源性膀胱功能障碍应用综合疗法治疗的疗效分析  

Efficacy analysis about application of Comprehensive treatment of spinal cord injury neurogenic bladder dysfunction

作　　者：莫天才[1] 杨一帆[1] 孔佑象 

机构地区：[1]昆明医科大学第一附属医院 康复医学科,云南 昆明650032

出　　处：《世界最新医学信息文摘》2014年第9期40-41,共2页World Latest Medicine Information Electronic Version

摘　　要：目的：探讨采用间歇导尿、膀胱功能训练及神经肌肉电刺激（nMes）综合疗法对脊髓损伤后神经源性膀胱功能障碍的治疗效果，为脊髓损伤后神经源性膀胱功能障碍康复治疗提供一定的理论参考依据。方法将30例脊髓损伤后神经源性膀胱功能障碍患者随机分为对照组（15例）和治疗组（15例），其中对照组15例患者进行间歇导尿和膀胱功能训练治疗，治疗组15例患者采用间歇导尿、膀胱功能训练及神经肌肉电刺激（nMes）综合疗法治疗，1个月后观察并比较两组患者残余尿量及膀胱容量的变化，同时进行尿动力学检测。结果治疗后对照组患者残余尿量平均为（129.4±6.13）ml，膀胱容量（309.6±7.84）ml，治疗组患者残余尿量平均为（101.7±7.15）ml，膀胱容量（364.8±6.94） ml，两组患者残余尿量均显著低于治疗前，膀胱容量在治疗后显著得到提高（P ＜0.05）；治疗组患者残余尿量、膀胱容量的改善状况及尿动力学检测结果明显优于对照组（P ＜0.05），具有统计学意义。结论采用间歇导尿、膀胱功能训练及神经肌肉电刺激（nMes）综合疗法治疗脊髓损伤后神经源性膀胱功能障碍患者疗效确切，值得进一步推广使用。Objective To explore the using of intermittent catheterization, bladder training and neuromuscular electrical stimulation （nMes） for spinal cord injury neurogenic bladder dysfunction treatment, to provide a theoretical reference for clinically effective treatment of spinal cord injury neurogenic bladder dysfunction.Methods the 30 cases of with spinal cord injury neurogenic bladder dysfunction were randomly divided into control group （15 cases） and treatment group （15 cases）, in which the control group of 15 cases patients underwent intermittent catheterization and bladder training therapy, and the treatment group of 15 cases patients with intermittent catheterization, bladder training and NMES combination therapy. A month later the two groups were observed and compared the changes in residual urine volume and bladder capacity, urodynamic testing simultaneously. Results The control group of patients averaged residual urine volume was （129.4± 6.13） ml, averaged bladder capacity was （309.6 ± 7.84） ml, and the treatment group of patients averaged residual urine volume was（101.7 ± 7.15） ml, averaged bladder capacity was（364.8 ± 6.94） ml, the residual urine in two groups of patients were significantly lower than before treatment, and bladder volume was significantly improved after treatment（P 〈0.05）; the treatment group of patients, residual urine volume, bladder capacity had improved and urodynamic test results was better than the control group （P〈0.05）,there was a statistical significance. Conclusion The efficacy was well using intermittent catheterization, bladder training and NMES combination therapy for spinal cord injury neurogenic bladder dysfunction treatment, it was worthy of further promoting use.

关 键 词：综合疗法 脊髓损伤 神经源性膀胱功能障碍 疗效观察 

分 类 号：R744[医药卫生—神经病学与精神病学]