经皮神经电刺激联合膀胱功能再训练对神经源性膀胱功能恢复的影响  

Influence of percutaneous nerve electrical stimulation in combination with bladder function retraining on function recovery of patients with neurogenic bladder

作　　者：鄢茵[1] 管细红[2] 童华章[3] 

机构地区：[1]南昌大学第一附属医院 [2]江西省人民医院二部 [3]江西省人民医院

出　　处：《全科护理》2016年第15期1530-1532,共3页Chinese General Practice Nursing

摘　　要：[目的]探讨经皮神经电刺激联合膀胱功能再训练对神经源性膀胱功能恢复的影响。[方法]选择86例脊髓损伤后神经源性膀胱病人为研究对象,随机分为观察组和对照组各43例。对照组给予常规膀胱功能再训练,观察组在此基础上给予2个月的经皮神经电刺激治疗。观察比较两组病人干预前后膀胱容量、残余尿量以及并发症发生情况。[结果]干预后,观察组病人膀胱容量大于对照组,残余尿量少于对照组,差异具有统计学意义(P<0.05);观察组病人尿路感染、膀胱结石和肾积水发生率低于对照组,组间比较差异有统计学意义(P<0.05)。[结论]经皮神经电刺激联合膀胱功能再训练能有效增加膀胱容量、减少残余尿量、降低并发症的发生率。Objective:To probe into the influence of percutaneous nerve electrical stimulation in combination with bladder function retraining on function recovery of patients with neurogenic bladder.Methods:A total of 86 cases of patients with neurogenic bladder after spinal cord injury were selected as the research objects and were randomly divided into observation group and control group,43 cases in each.The patients in control group were given conventional bladder function retraining,besides that the patients in observation group received percutaneous nerve electrical stimulation for two months.The residual urine volume,bladder capacity and complications in both groups of patients were compared before and after the intervention.Results:After the intervention,the bladder capacity in patients in observation group was greater than that in control group,residual urine volume was less than that in control group,the difference was statistically significant(P<0.05);the incidences of urinary tract infection,bladder stones and hydronephrosis in observation group were lower than that in control group,and there were statistically significant differences between both groups(P<0.05).Conclusion:Percutaneous nerve electrical stimulation in combination with bladder function retraining could effectively increase bladder capacity,reduce the residual urine volume and the incidence of complications.

关 键 词：经皮神经电刺激 膀胱功能再训练 神经源性膀胱 

分 类 号：R473.6[医药卫生—护理学]