经皮穴位电刺激联合间歇导尿膀胱训练对脊髓损伤后神经源性膀胱患者尿流动力学的影响  

The Influence of Transcutaneous Electrical Stimulation of Acupoints Combined with Intermittent Urethral Catheterization Bladder Training on Urodynamics in Patients with Neurogenic Bladder After Spinal Cord Injury

作　　者：郭珈妤 李洋洋[1] 孙文文 GUO Jia-yu;LI Yang-yang;SUN Wen-wen(The First Afiliated Hospital of Henan University of Science and Technology,Luoyang,Henan,China,471000)

机构地区：[1]河南科技大学第一附属医院,河南洛阳471000

出　　处：《河南中医》2023年第1期112-115,共4页Henan Traditional Chinese Medicine

基　　金：河南省科技攻关计划项目(2017T02057)。

摘　　要：目的:观察经皮穴位电刺激联合间歇导尿膀胱训练对脊髓损伤后神经源性膀胱患者尿流动力学的影响。方法:选取2020年1月至2022年1月河南科技大学第一附属医院康复医学科治疗的脊髓损伤后神经源性膀胱患者88例,按照随机数字表法分为观察组和对照组,每组44例。对照组给予间歇导尿及膀胱训练治疗,观察组在对照组治疗的基础上给予经皮穴位电刺激治疗。观察两组患者治疗前后充盈期膀胱压力、最大尿流速率、最大尿流速率时逼尿肌压力、最大膀胱测压容积、24 h排尿次数、最大排尿量、24 h平均单次尿量、尿残余量、国际下尿路功能症状(lower urinary tract symptom, LUTS)评分、尿失禁生活质量问卷(incontinence quality of life questionnaire, I-QOL)评分及临床疗效。结果:观察组患者治疗后充盈期膀胱压力、最大尿流速率时逼尿肌压力低于对照组,最大尿流速率、最大膀胱测压容积高于对照组,差异有统计学意义(P<0.05);观察组治疗后24 h排尿次数、尿残余量少于对照组,最大排尿量、24 h平均单次尿量多于对照组,差异有统计学意义(P<0.05);观察组治疗后LUTS评分低于对照组,I-QOL评分高于对照组,差异有统计学意义(P<0.05);观察组有效率为95.45%,对照组有效率为84.09%,观察组有效率高于对照组,差异有统计学意义(P<0.05)。结论:经皮穴位电刺激联合间歇导尿膀胱训练可调节脊髓损伤后神经源性膀胱患者尿流动力学指标,改善排尿功能,提高临床疗效和患者生活质量。Objective: To observe the influence of transcutaneous electrical stimulation of acupoints combined with intermittent urethral catheterization bladder training on urodynamics in patients with neurogenic bladder after spinal cord injury.Methods: A total of 88 patients with neurogenic bladder after spinal cord injury treated in the rehabilitation medicine department of The First Affiliated Hospital of Henan University of Science and Technology from January 2020 to January 2022 were selected and divided into the observation group and the reference group according to the random number table, with 44 cases in each group.The reference group was treated with intermittent catheterization and bladder training, while the observation group was treated with transcutaneous electrical stimulation on the basis of the reference group.The bladder pressure in filling period, maximum urinary flow rate, detrusor pressure at maximum urinary flow rate, maximum bladder pressure measuring volume, 24 h urination frequency, maximum urination volume, 24 h average single urine volume, residual urine volume, international lower urinary tract symptom(LUTS) score, incontinence quality of life questionnaire(I-QOL) score and clinical efficacy of the two groups before and after treatment were observed.Results: After treatment, the bladder pressure in the filling period and the detrusor pressure at the maximum urine flow rate in the observation group were lower than those in the reference group, while the maximum urine flow rate and the maximum bladder pressure volume were higher than those in the reference group, and all the differences were statistically significant(P<0.05).The numbers of urination and residual urine volume in the observation group were less than those in the reference group 24 hours after treatment, while the maximum urination volume and 24 h average single urine volume in the observation group were more than those in the reference group, and all the differences were statistically significant(P<0.05).After treatment, the LUTS sc

关 键 词：脊髓损伤后神经源性膀胱 经皮穴位电刺激 间歇导尿膀胱训练 尿流动力学 

分 类 号：R259[医药卫生—中西医结合]