不同频率经皮神经电刺激改善脑卒中后尿失禁的比较  

Comparison of Transcutaneous Electrical Nerve Stimulation for Post-stroke Urinary Incontinence in Various Frequency

作　　者：刘艺[1] 许纲[1] 黄敬[1] 

机构地区：[1]同济大学附属上海市第十人民医院康复医学科,上海市200072

出　　处：《中国康复理论与实践》2015年第5期562-566,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家自然科学基金项目(No.81000492)

摘　　要：目的比较两种频率经皮神经电刺激(TENS)治疗脑卒中后尿失禁的效果。方法 81例脑卒中后尿失禁患者分为A组(n=27)、B组(n=27)和C组(n=27)。A组和B组予双相方波脉、宽150μs TENS每次30 min,每天1次治疗,A组频率20 Hz,B组75Hz;C组予常规内科治疗,共90 d。治疗前后,分别采用膀胱过度活动症状评分(OABSS)、Barthel指数(BI)、排尿日记进行评估。结果治疗后,A组、B组OABSS、BI总分、排尿日记较之治疗前改善(P<0.05),A组明显优于B组(P<0.01),C组与治疗前无显著性差异(P>0.05)。结论频率20 Hz的TENS对改善尿失禁症状有更好的疗效。Objective To compare the effects of 2 kinds of frequency of transcutaneous electrical nerve stimulation （TENS） on urinary incontinence after stroke. Methods 81 patients with post-stroke urinary incontinence were randomized into group A （n=27）, group B （n=27） and group C （n=27）, who accepted TENS （biphasic square waves with pulse durations of 150μs） in 20 Hz, 75 Hz and medcine only, respec-tively, for 90 days. They were assessed with Overactive Bladder Symptom Scores （OABSS）, Barthel Index （BI）, and voiding diary before and after treatment. Results The OABSS, BI and voiding diary improved significantly after treatment （P〈0.05） in groups A and B, and im-proved more in the group A than in the group B. There was not significant improvement in the group C （P〉0.05）. Conclusion TENS of 20 Hz is more effective to reduce the incontinence post stroke.

关 键 词：脑卒中 尿失禁 经皮神经电刺激 频率 

分 类 号：R743.3[医药卫生—神经病学与精神病学]