不同频率电刺激疗法对颈脊髓损伤合并尿潴留患者的疗效分析  

Therapeutic Effect of Different Frequency Electrical Stimulation Therapy on Patients with Cervical Spinal Cord Injury Complicated with Urinary Retention

作　　者：张裕 吴骏 梁慧 刘伟 李娜 Zhang Yu;Wu Jun;Liang Hui;Liu Wei;Li Na(Department of Spine Surgery,Yudu County People’s Hospital,Ganzhou 341000,China;Department of Rehabilitation,Yudu County People’s Hospital,Ganzhou 341000,China)

机构地区：[1]江西省于都县人民医院脊柱外科,江西赣州341000 [2]江西省于都县人民医院康复科,江西赣州341000

出　　处：《中国伤残医学》2025年第7期107-110,共4页Chinese Journal of Trauma and Disability Medicine

基　　金：江西省卫生健康委科技计划(202312191)。

摘　　要：目的:探讨不同频率电刺激疗法在颈脊髓损伤(CSCI)合并尿潴留患者中的治疗效果。方法:选取2021年11月—2024年6月于都县人民医院收治的124例CSCI合并尿潴留患者为研究对象,依据随机数字表法将其分为对照组、30 Hz组、50 Hz组、70 Hz组,各31例。对照组采取常规康复训练治疗,30 Hz组、50 Hz组、70 Hz组分别于对照组基础上采取30、50、70 Hz频率的电刺激疗法治疗。四组均干预4周。比较四组排尿情况、膀胱功能、生活质量、尿路感染发生情况。结果:干预后,30 Hz组、50 Hz组、70 Hz组膀胱内压均高于对照组、单次排尿量均大于对照组、排尿次数均多于对照组、残余尿量均少于对照组,且30 Hz组、50 Hz组各指标均优于70 Hz组,差异均有统计学意义(P<0.05);干预后,30 Hz组、50 Hz组膀胱内压、单次排尿量、残余尿量、排尿次数比较,差异均无统计学意义(P>0.05)。干预后,四组膀胱功能评估量表(MHU)评分较干预前均下降,且30 Hz组、50 Hz组、70 Hz组均低于对照组,30 Hz组、50 Hz组均低于70 Hz组,差异均有统计学意义(P<0.05);干预后,30 Hz组、50 Hz组MHU评分比较,差异无统计学意义(P>0.05)。干预后,四组生活质量综合评定问卷-74(GQOLI-74)评分均较干预前增高,且30 Hz组、50 Hz组、70 Hz组均高于对照组,30 Hz组、50 Hz组均高于70 Hz组,差异均有统计学意义(P<0.05);干预后,30 Hz组、50 Hz组GQOLI-74评分比较,差异无统计学意义(P>0.05)。30 Hz组、50 Hz组、70 Hz组、对照组发生尿路感染的比率分别为3.23%、6.45%、12.90%、19.35%,四组相比,差异无统计学意义(P>0.05)。结论:采取30 Hz、50 Hz的电刺激疗法对CSCI合并尿潴留患者实施干预,在改善排尿情况与膀胱功能方面优于70 Hz电刺激疗法,有利于提升患者生活质量,减少尿路感染发生。Objective:To investigate the therapeutic effect of different frequency electrical stimulation therapy in patients with cervical spinal cord injury(CSCI)complicated with urinary retention.Methods:A total of 124 patients with CSCI combined with urinary retention admitted to Yudu County People’s Hospital from November 2021 to June 2024 were selected as the study objects,and were divided into a control group,a 30 Hz group,a 50 Hz group and a 70 Hz group according to the random number table method,with 31 cases in each group.The control group was treated with routine rehabilitation training,and the 30 Hz group,50 Hz group and 70 Hz group were treated with 30,50 and 70 Hz frequency electrical stimulation therapy based on the control group,respectively.All four groups were intervened for 4 weeks.Urinary status,bladder function,quality of life and the occurrence of urinary tract infection were compared among the four groups.Results:After intervention,the internal bladder pressure and the single urination volume and the frequency of urination in 30 Hz group,50 Hz group and 70 Hz group were higher than those in control group,the residual urine volume was lower than that in control group,and all indexes in 30 Hz group and 50 Hz group were better than those in 70 Hz group,the differences were statistically significant(P<0.05).After intervention,there was no significant difference in bladder pressure,single urine volume,residual urine volume and frequency of urine between 30 Hz group and 50 Hz group(P>0.05).After intervention,the Mesure du Handicap Urinaire(MHU)scores in the four groups were lower than those before intervention,and the scores in 30 Hz group,50 Hz group and 70 Hz group were lower than that in the control group,and the scroes in 30 Hz group and 50 Hz group were lower than that in the 70 Hz group,the differences were statistically significant(P<0.05).After intervention,there was no significant difference in MHU scores between the 30 Hz group and the 50 Hz group(P>0.05).After intervention,Generic Quality of Lif

关 键 词：颈脊髓损伤 电刺激疗法 频率 尿潴留 

分 类 号：R473[医药卫生—护理学]