首页|电刺激生物反馈联合间歇导尿对卒中后尿潴留的膀胱功能及泌尿系感染的影响

电刺激生物反馈联合间歇导尿对卒中后尿潴留的膀胱功能及泌尿系感染的影响

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目的 探讨电刺激生物反馈联合间歇导尿对卒中后尿潴留患者膀胱功能及泌尿系感染的影响.方法 选取2021年11月至2022年11月在本院就诊的100例卒中后并发尿潴留患者作为研究对象,采用随机数字法将患者分为对照组和观察组,每组各50例.对照组采取间歇导尿的方法进行治疗,观察组在对照组治疗基础上联合电刺激生物反馈治疗仪进行治疗.比较两组患者的临床治疗疗效、治疗前后生活质量评分、膀胱功能和泌尿系感染情况.结果 观察组患者的临床治疗总有效率高于对照组[94.00%(47/50)vs.80.00%(40/50),P<0.05];治疗后,两组患者的社会功能、生理职能、情感职能和精神健康评分均较治疗前明显提升,且观察组高于对照组(均P<0.05);治疗后,两组患者的膀胱容量和最大尿流率均明显提升,残余尿量均明显减少,且观察组的上述指标提升较对照组更显著(均P<0.05).观察组患者发生泌尿系感染2例(4.00%),对照组患者发生泌尿系感染8例(16.00%),两组比较差异有统计学意义(x2=4.141,P<0.05).结论 电刺激生物反馈联合间歇导尿治疗卒中后尿潴留患者的效果显著,可有效促进患者膀胱功能恢复,提高生活质量.
Impacts of electrical stimulation biofeedback combined with intermittent catheterization on bladder function and urinary tract infection in patients with urinary retention after stroke
Objective To investigate the impacts of electrical stimulation biofeedback com-bined with intermittent catheterization on bladder function and urinary tract infection in patients with u-rinary retention after stroke.Methods A total of 100 patients with urinary retention after stroke who were hospitalized in our hospital from November 2021 to November 2022 were selected as the research objects.The patients were randomly divided into two groups on average.The control group was treated with intermittent catheterization,and the observation group was treated with biofeedback electric stimu-lation therapeutic apparatus on the basis of the treatment of the control group.The clinical efficacy,quality of life scores,changes of bladder function indicators(bladder volume,residual urine volume,maximum urinary flow rate)and urinary tract infection of the two groups were compared.Results The total effective rate of clinical treatment in the observation group was higher than that in the control group[94.00%(47/50)vs.80.00%(40/50),P<0.05].After treatment,the social function,physiological function,emotional function,and mental health scores in both groups were significantly improved compared to before treatment,and those in the observation group were higher than those in the control group(all P<0.05).After treatment,the bladder capacity and maximum urine flow rate of both groups were significantly increased,while residual urine volume was significantly reduced.Mo-reover,the above indicators in the observation group changed more significantly than those in the con-trol group(all P<0.05).There were 2 cases(4.00%)of urinary tract infections in the observation group,and 8 cases(16.00%)of urinary tract infections in the control group,the difference between the two groups was statistically significant(x2=4.141,P<0.05).Conclusions Electrical stimula-tion biofeedback combined with intermittent catheterization has a obvious effect on patients with urinary retention after stroke,which can effectively promote the recovery of bladder function and improve the quality of life of patients.

StrokeUrine RetentionElectric Stimulation TherapyIntermittent Catheterization

韩凤、王雪争、赵燕、陈彦忠、耿雪莲

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石家庄市人民医院康复科,石家庄 050011

卒中 尿潴留 电刺激疗法 间歇导尿

2021年石家庄市科学技术研究与发展自筹计划项目

211461223

2024

国际泌尿系统杂志
中华医学会,湖南省医学会

国际泌尿系统杂志

CSTPCD
影响因子:0.414
ISSN:1673-4416
年,卷(期):2024.44(5)
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