雷火灸联合盆底肌电生物反馈治疗脊髓损伤后神经源性膀胱的疗效分析  

Efficacy analysis of thunder-fire moxibustion combined with pelvic floor electromyographic biofeedback in the treatment of neurogenic bladder after spinal cord injury

作　　者：范真真 孙鲁琨 彭霈 尚明富 杨秀芝 钟萍 FAN Zhen-zhen;SUN Lu-kun;PENG Pei(Department of Rehabilitation Medicine,the 960th Hospital of the Joint Service Support Force of the Chinese People's Liberation Army,Jinan 250031,China)

机构地区：[1]中国人民解放军联勤保障部队第九六○医院康复医学科,250031

出　　处：《中国现代药物应用》2024年第20期11-14,共4页Chinese Journal of Modern Drug Application

摘　　要：目的对脊髓损伤后神经源性膀胱采用雷火灸联合盆底肌电生物反馈治疗的效果进行分析。方法60例脊髓损伤后神经源性膀胱患者,按照治疗方案不同分为对照组和试验组,每组30例。对照组采用常规综合治疗+盆底肌电生物反馈治疗,试验组在对照组基础上联合雷火灸治疗。比较两组患者的排尿相关指标、尿流动力学指标、膀胱功能评分及生活质量量表(QOL)评分。结果治疗后,两组24 h排尿次数、24 h尿失禁次数少于本组治疗前,排尿量多于本组治疗前,且试验组24 h排尿次数(6.53±0.68)次、24 h尿失禁次数(3.80±0.89)次少于对照组的(8.07±0.74)、(5.07±0.87)次,排尿量(216.27±31.13)ml/次多于对照组的(199.47±27.85)ml/次(P<0.05)。治疗后,两组残余尿量少于本组治疗前,充盈期膀胱内压低于本组治疗前,最大膀胱容积大于本组治疗前,且试验组残余尿量(83.37±7.01)ml少于对照组的(131.77±18.03)ml,充盈期膀胱内压(61.10±6.40)cm H2O(1 cm H2O=0.098 kPa)低于对照组的(64.43±4.94)cm H2O,最大膀胱容积(335.73±27.16)ml大于对照组的(314.73±36.28)ml(P<0.05)。治疗后,两组膀胱功能评分低于本组治疗前,QOL评分高于本组治疗前,且试验组膀胱功能评分(1.63±0.49)分低于对照组的(2.13±0.51)分,QOL评分(82.23±2.80)分高于对照组的(73.53±2.64)分(P<0.05)。结论对脊髓损伤后神经源性膀胱患者在盆底肌电生物反馈治疗的基础上联用雷火灸效果确切,有助于促进膀胱储尿和排尿功能的恢复,提升生活质量,值得推广。Objective To analyze the effect of thunder-fire moxibustion combined with pelvic floor electromyographic biofeedback in the treatment of neurogenic bladder after spinal cord injury.Methods 60 patients with neurogenic bladder after spinal cord injury were divided into a control group and an experimental group according to different treatment regimens,with 30 cases in each group.The control group received conventional comprehensive treatment+pelvic floor electromyographic biofeedback,and the experimental group combined with thunder-fire moxibustion treatment on the basis of the control group.The urination-related indexes,urodynamic indexes,bladder function score and quality of life scale(QOL)scores were compared between the two groups.Results After treatment,the frequency of 24-h urination and 24-h urinary incontinence in both groups was less than those before treatment in this group,and the urinary output was more than that before treatment in this group;the experimental group had frequency of 24-h urination of(6.53±0.68)times and 24-h urinary incontinence of(3.80±0.89)times,which were less than(8.07±0.74)and(5.07±0.87)times in the control group;the urinary output of(216.27±31.13)ml/time in the experimental group was more than(199.47±27.85)ml/time in the control group(P<0.05).After treatment,the residual urine volume in both groups was less than that before treatment,the intravesical pressure during bladder filling was lower than that before treatment,and the maximum bladder volume was greater than that before treatment;the residual urine volume of(83.37±7.01)ml in the experimental group was lower than(131.77±18.03)ml in the control group;the intravesical pressure during bladder filling of(61.10±6.40)cm H2O(1 cm H2O=0.098 kPa)in the experimental group was lower than(64.43±4.94)cm H2O in the control group;the maximal bladder volume of(335.73±27.16)ml in the experimental group was higher than(314.73±36.28)ml in the control group(P<0.05).After treatment,the bladder function score and QOL score in both gro

关 键 词：雷火灸 盆底肌电生物反馈 脊髓损伤 神经源性膀胱 

分 类 号：R651.2[医药卫生—外科学] R694.5[医药卫生—临床医学]