不同方法治疗脊髓损伤神经源膀胱的疗效及对患者生命质量的影响  

Effect of different methods on spinal cord injury and neurogenic bladder and its effect on quality of life of patients

作　　者：李秀银[1] 于素贞[1] 赵淑香[1] LI Xiuyin;YU Suzhen;ZHAO Shuxiang(Third Affiliated Hospital of Luohe Med&Cal College,Luohe 462000,China)

机构地区：[1]漯河医学高等专科学校第三附属医院,河南漯河462000

出　　处：《中国实用神经疾病杂志》2018年第8期901-904,911,共5页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析脊髓损伤(SCI)神经源性膀胱(NB)采用不同方式治疗的效果,研究不同的治疗手段对患者生命质量的影响。方法选取漯河医学高等专科学校第三附属医院收治的106例SCI后NB患者进行研究,随机分成研究组与常规组各53例。常规组为基础康复训练治疗,研究组在常规组治疗的基础上增加体表神经电刺激。比较2组的治疗效果、尿流动力学、生命质量及排尿日志。结果研究组治疗后总有效率为98.11%显著高于常规组的84.91%,差异有统计学意义(P<0.05);研究组治疗后尿流速率最大值、膀胱测压容积最大值等尿流动力学指标高于常规组,差异有统计学意义(P<0.05);研究组治疗后尿流动力学指标残余尿量值低于常规组,差异有统计学意义(P<0.05);研究组治疗后社会功能、躯体功能、心理功能、物质生活等GQOLI74量表维度评分显著高于常规组,差异有统计学意义(P<0.05);研究组治疗后每日尿失禁频次、每日排尿次数等排尿情况较常规组减少,差异有统计学意义(P<0.05);研究组治疗后每日单次最大尿量、每次单次尿量等排尿情况显著较常规组增多,差异有统计学意义(P<0.05)。结论在康复训练基础上对SCI后NB患者予以体表神经电刺激治疗,能有效改善其尿流动力学,提升生活质量,值得临床推广。Objective To analyze the effect of different treatments on the neurogenic bladder(NB)of spinal cord injury(SCI),and to study the effect of different treatments on the quality of life of the patients.Methods 106 patients with NB after SCI were selected and randomly divided into the study group and the conventional group,with 53 cases in each group.The conventional group was treated with basic rehabilitation training,while the study group received additional nerve stimulation.The treatment effect,urine flow dynamics,quality of life and voiding log were compared between the two groups.Results The total effective rate of the study group after treatment was 98.11%,which was significantly higher than that of the conventional group(84.91%)(P<0.05).The urodynamic indexes,such as the maximum rate of urine flow rate and the maximum volume of bladder pressure volume in the study group were higher than those in the conventional group(P<0.05),and the urodynamic index after treatment in the study group was more than that of the study group.The value of the residual urine volume was lower than that of the conventional group(P<0.05).The scores of the GQOLI74 scale in the study group were significantly higher than those of the conventional group(P<0.05).The frequency of urinary incontinence and the daily urination times of the study group after treatment were significantly higher than those of the conventional group(P<0.05).The daily single maximum urine volume and single urine volume in the study group were significantly higher than those in the conventional group(P<0.05).Conclusion On the basis of rehabilitation training,the treatment of NB patients after SCI can effectively improve the urine flow dynamics and improve the quality of life.It is worthy of clinical promotion.

关 键 词：脊髓损伤 神经源性膀胱 尿流动力学 电针 生命质量 

分 类 号：R744[医药卫生—神经病学与精神病学]