摘要
目的观察盆底肌肉电刺激结合针灸治疗脊髓损伤患者排尿功能障碍的疗效。方法选取脊髓损伤后排尿功能障碍患者62例，按随机数字表法随机分为治疗组和对照组，每组31例。2组均接受常规膀胱功能训练和饮水计划，治疗组在此基础上增加盆底肌肉电刺激和针灸治疗。2组患者于治疗前和治疗后（治疗8周后）均采用膀胱B超检查膀胱残余尿量、每天排尿日记、尿动力学检查和拔除导尿管试验评定治疗疗效。结果治疗前2组患者膀胱残余尿量、每天排尿日记、尿动力学检查和拔除导尿管试验等比较，差异无统计学意义（P〉0．05）；治疗8周后，治疗组患者残余尿量、日排尿次数等均少于对照组，治疗组初尿意膀胱容量、最大膀胱容量大于对照组，差异均有统计学意义（P〈0．05）；出院后治疗组临床治疗疗效维持时间更长，差异有统计学意义（P〈0．01）。结论盆底肌肉电刺激结合针灸治疗脊髓损伤后排尿功能障碍是一种有效、安全的治疗方法。
Objective To observe the effect of electrical stimulation of the pelvic floor muscles （PES） combined with acupuncture on urinary dysfunction in patients with spinal cord injury （SCI）. Methods Sixty-two patients with SCI were randomly divided into a treatment group （n = 31 ） and a control group （n = 31 ）. All subjects received routine bladder function training and a drinking water schedule for 8 weeks. In addition, the treatment group was given PES 30-40 min/d 6 times/week and acupuncture for 30 min/d, 6 times/week for the 8 weeks. Residual volume of urine was evaluated using ultrasound and a daily voiding diary. Uurodynamic examinations and catheter extraction were used to assess the urinary function pre- and post-treatment. Results No significant difference was found between the two groups before treatment, but after 8 weeks of treatment the residual volume of urine detected by ultrasound and voiding frequency were significantly lower in the treatment group than in the control group. First desire to urinate and maximal urinary bladder capacities in the treatment group were also significant higher than in the con- trol group. The efficacy of treatment was also sustained significantly longer in the treatment group. Conclusion PES combined with acupuncture therapy is more effective than routine bladder function training for SCI patients with urinary dysfunction.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2011年第9期689-692,共4页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
盆底肌肉电刺激
针灸
脊髓损伤
排尿功能障碍
Pelvic floor muscles
Electrical stimulation
Acupuncture
Spinal cord injury
Urinary dysfunction
