调制中频电刺激治疗脊髓损伤后神经源性膀胱尿潴留的效果观察  

Effect of modulated intermediate frequency electrical stimulation on neur ogenic bladder and urine retention after spinal cord injury

作　　者：吴世凤[1] 石贤科 梁聪聪 陶敏[1] 陈礼娜 WU Shifeng;SHI Xianke;LIANG Congcong;TAO Min;CHEN Lina(Department of Rehabilitation Medicine,Yulin First People’s Hospital,Yu lin Guangxi 537000)

机构地区：[1]玉林市第一人民医院康复医学科,广西玉林537000

出　　处：《当代医药论丛》2022年第11期34-38,共5页

基　　金：市厅级课题,编号:玉市科20202012。

摘　　要：目的:探讨对脊髓损伤(SCI)后神经源性膀胱(NB)尿潴留患者进行调制中频电刺激治疗的效果。方法:将玉林市第一人民医院收治的75例SCI后NB尿潴留患者按照随机数表法分为A组、B组、C组,每组各有患者25例。对A组患者进行清洁间歇性导尿、电针、膀胱功能训练等常规治疗,B组患者在常规治疗的基础上接受低频电刺激治疗,C组患者在常规治疗的基础上接受调制中频电刺激治疗。比较三组患者的24 h排尿次数、单次排尿量、平均残余尿量及生活质量指数评分。结果:治疗后,C组患者的24 h排尿次数多于A组患者和B组患者,单次排尿量高于这两组患者,平均残余尿量低于这两组患者,差异有统计学意义(P<0.05);B组患者的24 h排尿次数多于A组患者,单次排尿量高于A组患者,平均残余尿量低于A组患者,差异有统计学意义(P<0.05)。治疗后,三组患者的生活质量指数评分均低于治疗前,差异有统计学意义(P<0.05)。治疗后,A组患者、B组患者的生活质量指数评分相比,差异无统计学意义(P>0.05)。治疗后,C组患者的生活质量指数评分高于A组患者和B组患者,差异有统计学意义(P<0.05)。结论:在对SCI后NB尿潴留患者进行清洁间歇性导尿、电针、膀胱功能训练等常规治疗的基础上,对其实施调制中频电刺激治疗可有效改善其膀胱功能,提高其生活质量。Objective:To investigate the effect of modulated intermediate frequency electrical stimulation on patients with neurogenic urinary retention after spinal cord injury(SCI).Methods:75 patients with NB urinary retention after SCI admitted to Yulin First People’s Hospital were divided into group A,group B and group C according to random number table method,with 25 patients in each group.Patients in group A received routine treatment such as clean intermittent catheterization,electroacupuncture and bladder function training;patients in group B received low frequency electrical stimulation on the basis of routine treatment;patients in group C received modulated medium frequency electrical stimulation on the basis of routine treatment.The 24 h urination times,single urination volume,average residual urine volume and quality of life index scores of the three groups were compared.Results:After treatment,the 24 h urination frequency of patients in group C was higher than that in group A and group B,single urination volume was higher than those in these two groups,and average residual urine volume was lower than those in these two groups,the difference was statistically significant(P<0.05).The 24 h urination frequency of group B was higher than that of group A,single urination volume was higher than that of group A,and average residual urine volume was lower than that of group A,the differences were statistically significant(P<0.05).After treatment,the quality of life index scores of patients in the three groups were lower than before,the difference was statistically significant(P<0.05).After treatment,there was no s ignificant difference in qOL scores between group A and group B(P>0.05).After treatm ent,the quality of life index score of group C was higher than that of group A and group B,the difference was statistically significant(P<0.05).Conclusion:On the basis of routine treatment such as clean intermittent catheterization,electroacupuncture and bladder function training for NB patients with urinary retention after S

关 键 词：调制中频电刺激 脊髓损伤 神经源性膀胱 尿潴留 生活质量 

分 类 号：R493[医药卫生—康复医学]