站立位呼吸训练对脊髓损伤后尿潴留患者自主神经和膀胱功能的影响  

Effect of Standing Breathing Training on Autonomic Nerve and Bladder Function in Patients with Urinary Retention after Spinal Cord Injury

作　　者：周方 朱秀华 陆飞[1] 赵秦[1] 苏清伦[1] ZHOU Fang;ZHU Xiuhua;LU Fei;ZHAO Qin;SU Qinglun(Department of Rehabilitation Medicine,The First People’s Hospital of Lianyungang,Lianyungang Jiangsu,222000,China;Department of Neurorehabilitation,The First People’s Hospital of Lianyungang,Lianyungang Jiangsu,222000,China)

机构地区：[1]连云港市第一人民医院康复医学科,江苏连云港222000 [2]连云港市第一人民医院神经康复科,江苏连云港222000

出　　处：《反射疗法与康复医学》2021年第2期118-122,共5页Reflexology And Rehabilitation Medicine

基　　金：连云港市第一人民医院青年英才基金(QN202008);南京医科大学康达学院科研发展基金(KD2020KYJJYB037)。

摘　　要：目的观察站立位呼吸训练对脊髓损伤所致神经源性膀胱尿潴留患者自主神经和膀胱功能的影响。方法选取2018年5月—2020年5月该院收治的60例胸腰段不完全性脊髓损伤后神经源性膀胱尿潴留患者为研究对象,随机分为观察组(30例)和对照组(30例)。对照组患者进行常规康复治疗,观察组患者在常规康复治疗基础上进行站立位呼吸训练。治疗8周后,对两组患者的心率变异性指标和膀胱功能指标进行比较。结果治疗前,两组患者的各项心率变异性指标和膀胱功能指标比较,组间差异无统计学意义(P>0.05);治疗8周后,观察组各项心率变异性指标均高于对照组,组间差异有统计学意义(P<0.05);观察组的膀胱容量(359.9±85.1)mL、充盈期逼尿肌压力(20.4±6.1)cmH2O和残余尿量(90.7±38.2)mL均高于对照组,组间差异有统计学意义(P<0.05)。结论站立位呼吸训练可改善脊髓损伤后神经源性膀胱尿潴留患者的自主神经功能和膀胱功能。Objective To observe the effect of standing breathing training on autonomic nerve and bladder function in patients with neurogenic bladder urinary retention caused by spinal cord injury.Methods From May 2018 to May 2020,60 patients with neurogenic bladder urinary retention after incomplete thoracolumbar spinal cord injury were selected as the research objects,and they were randomly divided into an observation group(30 cases)and a control group(30 cases).Patients in the control group received conventional rehabilitation treatment,and patients in the observation group received standing breathing training on the basis of conventional rehabilitation treatment.After 8 weeks of treatment,the heart rate variability indexes and bladder function indexes of the two groups of patients were compared.Results Before treatment,there were no significant differences between the heart rate variability indexes and bladder function indexes of the two groups of patients(P>0.05);after 8 weeks of treatment,the heart rate variability indexes of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05);the bladder volume(359.9±85.1)mL,detrusor pressure(20.4±6.1)cmH2O and residual urine volume(90.7±38.2)mL in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Standing breathing training can improve autonomic nerve function and bladder function in patients with neurogenic bladder urinary retention after spinal cord injury.

关 键 词：站立训练 呼吸训练 脊髓损伤 尿潴留 自主神经 膀胱功能 

分 类 号：R713[医药卫生—妇产科学]