骶神经根磁刺激联合盆底生物反馈治疗脊髓损伤后神经源性膀胱临床研究  

Therapeutic effect of sacral nerve root magnetic stimulation combined with pelvic floor electrical stimulation on neurogenic bladder after spinal cord injury

作　　者：林冬冬 熊振宇 张恩达 LIN Dong-dong;XIONG Zhen-yu;ZHANG En-da

机构地区：[1]福建省厦门市厦门弘爱康复医院脊髓损伤康复科,福建厦门316006

出　　处：《中国疗养医学》2024年第11期20-24,共5页Chinese Journal of Convalescent Medicine

基　　金：2022厦门市医疗卫生指导性项目(3502Z20224ZD1356)。

摘　　要：目的探讨骶神经根磁刺激联合盆底生物反馈治疗脊髓损伤后神经源性膀胱的临床疗效。方法选取厦门弘爱康复医院脊髓损伤康复科收治的80例脊髓损伤后神经源性膀胱患者,采用随机数字表分为4组,对照组接受标准神经源性膀胱管理方案;治疗A组在对照组基础上,接受骶神经根磁刺激治疗;治疗B组在对照组基础上,接受盆底生物反馈治疗;治疗C组在对照组基础上,同时接受骶神经根磁刺激及盆底生物反馈治疗;对比4组临床疗效。结果治疗后,治疗C组膀胱初感觉、最大膀胱容量、神经源性膀胱症状评分分别为(197.68±21.48)mL、(380.65±42.39)mL、(17.68±4.69)分,对照组分别为(149.25±14.32)mL、(311.26±30.56)mL、(47.84±11.32)分,治疗A组分别为(179.22±20.54)mL、(356.79±28.65)mL、(32.14±5.26)分,治疗B组分别为(185.24±14.57)mL、(343.74±37.42)mL、(36.21±7.24)分,治疗C组优于其他3组,差异有统计学意义(P<0.05);治疗C组最大膀胱内压疗效优于对照组,差异有统计学意义(P<0.05);治疗C组残余尿量疗效优于对照组及治疗B组,差异有统计学意义(P<0.05)。结论骶神经根磁刺激联合盆底生物反馈治疗能够有效改善脊髓损伤后神经源性膀胱患者储尿及排尿功能,缓解下尿路症状,提高生存质量。Objective To observe the therapeutic effect of sacral nerve root magnetic stimulation combined with pelvic floor electrical stimulation on neurogenic bladder after spinal cord injury.Methods A total of 80 patients with neurogenic bladder after spinal cord injury treated in the Spinal Cord Injury Rehabilitation Department of the Xiamen Humanity Rehabilitation Hospital were selected and randomly assigned into the control group,and A,B and C groups using the random number table.A standardized management of neurogenic bladder was performed in all groups.Sacral nerve root magnetic stimulation was additionally performed in group A,and pelvic floor electrical stimulation was additionally performed in group B.Their combination was additionally performed in group C.Clinical efficacy was compared among the four groups.Results After treatment,the initial bladder sensation,maximum bladder capacity,and neurogenic bladder symptom scores of group C were(197.68±21.48)mL,(380.65±42.39)mL,and(17.68±4.69)points,respectively,while those of the control group were(149.25±14.32)mL,(311.26±30.56)mL,and(47.84±11.32)points,respectively.They,in group A,were(179.22±20.54)mL,(356.79±28.65)mL,and(32.14±5.26)points,respectively.In group B,they were(185.24±14.57)mL,(343.74±37.42)mL,and(36.21±7.24)points,respectively.Post-treatment initial bladder sensation,maximum bladder capacity,and neurogenic bladder symptom scores were significantly better in group C than those of the remaining groups(P<0.05).The maximum intravesical pressure of the group C was significantly better than that of control group(P<0.05).The therapeutic efficacy of residual urine volume was significantly better in group C than that of control group and group B(P<0.05).Conclusion Sacral nerve root magnetic stimulation combined with pelvic floor electrical stimulation can effectively improve urinary storage and urination function,relieve lower urinary tract symptoms,and improve life quality.

关 键 词：脊髓损伤 神经源性膀胱 骶神经根磁刺激 盆底生物反馈 

分 类 号：R47[医药卫生—护理学]