电针联合现代康复技术对脊髓损伤神经源膀胱尿失禁患者康复的影响  

Effect of electroacupuncture combined with modern rehabilitation technology on rehabilitation of patients with bladder urinary incontinence caused by spinal cord injury

作　　者：柯华菁 张宇 汪宇翔 KE Hua-jing;ZHANG Yu;WANG Yu-xiang(Department of Rehabilitation,the First People′s Hospital of Jiujiang City,Jiangxi Province,Jiujiang332000,China;Department of Hepatology,the First People′s Hospital of Jiujiang City,Jiangxi Province,Jiujiang332000,China)

机构地区：[1]江西省九江市第一人民医院康复科,江西九江332000 [2]江西省九江市第一人民医院肝病科,江西九江332000

出　　处：《中国当代医药》2021年第2期50-52,共3页China Modern Medicine

摘　　要：目的探讨电针联合现代康复技术对脊髓损伤神经源性膀胱尿失禁患者康复的影响。方法选择2017年10月~2019年10月江西省九江市第一人民医院收治的84例脊髓损伤神经源性膀胱尿失禁患者,采用随机数字表法分为两组,每组各42例。对照组采取现代康复技术治疗,研究组联合应用电针与现代康复技术治疗,疗程8周。比较两组的排尿恢复时间、尿动力学指标及排尿情况。结果研究组的初次排尿时间、建立反射性排尿时间为(6.77±2.69)、(9.79±3.21)d,短于对照组的(8.42±3.15)、(13.02±4.86)d,差异均有统计学意义(P<0.05)。研究组治疗后的最大尿流率、最大排尿量为(14.15±3.89)mL/s、(196.64±39.22)mL,高于对照组的(11.86±3.67)mL/s、(179.39±35.27)mL,残余尿量、排尿次数为(80.25±27.17)mL、(12.18±3.65)次/d,少于对照组的(94.13±29.24)mL、(14.43±3.54)次/d,差异均有统计学意义(P<0.05)。结论电针联合现代康复技术治疗脊髓损伤神经源性膀胱尿失禁效果显著,能帮助建立排尿反射,改善上尿路功能及排尿能力。Objective To explore the effect of electroacupuncture combined with modern rehabilitation technology on rehabilitation of patients with spinal cord injury neurogenic bladder incontinence.Methods A total of 84 patients with neurogenic bladder incontinence of spinal cord injury who were admitted to the First People′s Hospital of Jiujiang City,Jiangxi Province from October 2017 to October 2019 were selected and divided into two groups with random number table method,42 cases in each group.The control group was treated with modern rehabilitation technology,and the study group was treated with electroacupuncture combined with modern rehabilitation technology for 8 weeks.The urinary recovery time,urodynamic indicators and urination were compared between the two groups.Results The first urination time and the establishment of reflex urination time in the study group were(6.77±2.69)d and(9.79±3.21)d,which were shorter than those in the control group of(8.4±23.15)d and(13.02±4.86)d,the differences were statistically significant(P<0.05).The maximum urinary flow rate and maximum urination volume in the study group after treatment were(14.15±3.89)mL/s,(196.64±39.22)mL,which were higher than those in the control group of(11.86±3.67)mL/s and(179.39±35.27)mL,and the residual urine volume and urination frequency were(80.25±27.17)mL,(12.18±3.65)times/d,which were less than(94.13±29.24)mL and(14.43±3.54)times/d of the control group,the differences were statistically significant(P<0.05).Conclusion Electroacupuncture combined with modern rehabilitation technology has a significant effect on neurogenic bladder urinary incontinence caused by spinal cord injury,which can help establish urination reflex,improve upper urinary tract function and urination ability.

关 键 词：脊髓损伤 神经源性膀胱尿失禁 电针 体表神经电刺激 尿动力学 

分 类 号：R245[医药卫生—针灸推拿学]