运动想象疗法联合间歇导尿在脊髓损伤后神经源性膀胱中的应用  

Application of motor imagination therapy combined with intermittent urethral catheterization in neurogenic bladder after spinal cord injury

作　　者：张卫卫[1] 杨阳[2] 邹丽丽[2] 孙振双 郝媛媛 李瀛 蔡西国[2] ZHANG Wei-wei;YANG Yang;ZOU Li-li;SUN Zhen-shuang;HAO Yuan-yuan;LI Ying;CAI Xi-guo(People’s Hospital of Henan University,Zhengzhou 450003,China;不详)

机构地区：[1]河南大学人民医院,河南省人民医院,郑州450003 [2]河南省人民医院,河南大学人民医院康复医学科

出　　处：《医药论坛杂志》2021年第8期35-38,共4页Journal of Medical Forum

基　　金：河南省科技攻关计划项目(172102310160)。

摘　　要：目的探讨运动想象疗法联合间歇导尿治疗脊髓损伤后神经源性膀胱的疗效。方法选取2019年河南大学人民医院病房接诊脊髓损伤患者50例,随机分为观察组与对照组,每组25例,观察组在常规治疗基础上应用运动想象疗法联合间歇导尿治疗,对照组在常规治疗基础上单用清洁间歇导尿治疗,对比两组残余尿量、导尿次数、生活质量评分、不良反应的差异。结果经过2个疗程治疗,观察组残余尿量(153.44±50.60)mL,对照组(191.60±57.15)mL,观察组比对照组低(P<0.05);观察组导尿次数(2.40±0.71)次,对照组(3.04±0.89)次,观察组比对照组低(P<0.05);观察组生活质量评分(3.00±0.82)分,对照组(3.60±0.91)分,观察组比对照组评分低(P<0.05);观察组患者满意度为84.0%,比对照组52.0%高(P<0.05)。结论运动想象疗法联合间歇导尿治疗脊髓损伤后神经源性膀胱时患者残余尿量、导尿次数、生活质量评分均较前降低,同时患者满意度也较前升高,但两组均无不良反应。Objective To investigate the effect of motor imagination therapy combined with intermittent urethral catheterization on neurogenic bladder after spinal cord injury.Methods Selection of 50 patients with incomplete spinal cord injury in our hospital ward in 2019,were randomly divided into observation group and control group,25 cases in each group,the observation group based on the conventional treatment applied sport imagine therapy in combination with intermittent catheterization treatment,the control group on the basis of routine therapy,with clean intermittent catheterization treatment,compared two groups of residual urine volume,number of urethral catheterization,the quality of life score,the difference of adverse reactions.Results After 2 courses of treatment,the residual urine volume of observation group was(153.44±50.60),which was lower than that of control group(191.60±57.15)(P<0.05).The frequency of urethral catheterization in the observation group was(2.40±0.71),lower than that in the control group(3.04±0.89),P<0.05).The quality of life score of observation group was(3.00±0.82),lower than that of control group(3.60±0.91)(P<0.05).The satisfaction of observation group was 84.0%,which was higher than that of control group 52.0%(P<0.05).Conclusion Motor imagination therapy combined with intermittent urethral catheterization in the treatment of neurogenesis bladder after spinal cord injury had good efficacy,quality of life score and satisfaction,and reduced the number of urethral catheterization,but there were no adverse reactions in both groups.

关 键 词：运动想象疗法 间歇导尿 脊髓损伤 神经源性膀胱 

分 类 号：R745.4[医药卫生—神经病学与精神病学]