摘要
目的:研究盆底磁刺激联合膀胱综合护理管理用于治疗脊髓损伤神经源性膀胱的效果.方法:选取2020年10月—2021年10月赣州市人民医院脊柱外科收治的60例脊髓损伤神经源性膀胱患者作为研究对象,采用随机数表法将其分为观察组和对照组,每组各30例.对照组采用膀胱综合护理管理,观察组采用膀胱综合护理管理联合盆底磁刺激治疗,对比治疗4周后两组患者膀胱功能指标、尿流动力学指标、排尿症状评分和生活质量评分.结果:两组患者治疗后日均排尿次数、日均单次排尿量、日单次最大排尿量、尿流动力学指标、生活质量评分较治疗前均显著升高而显著上升,差异有统计学意义(t= 10.800、26.900、28.600、10.500、11.200、10.400、20.500、6.210、14.800、14.800、13.800、11.500、17.600,P＜0.05).结论:膀胱综合护理管理结合盆底磁刺激的治疗方式,可有效改善神经源性膀胱患者的膀胱功能,提升生活质量,具有重要的临床价值.
Abstract
Objective:To study the effectiveness of pelvic floor magnetic stimulation combined with comprehensive bladder care management for the treatment of neurogenic bladder in spinal cord injury.Methods:60 patients with neurogenic bladder from spinal cord injury admitted to the hospital from October 2020 to October 2021 were selected as the study subjects,and were divided into observation group and control group using the random number table method,with 30 cases in each group.The control group was managed with comprehensive bladder care,and the observation group was treated with comprehensive bladder care manage-ment combined with pelvic floor magnetic stimulation.The bladder function index,urodynamic index,voiding symptom score and quality of life score of patients in both groups were compared after 4 weeks of treatment.Results:The average daily number of voiding,mean daily single voided volume,maximum daily single voided volume,urodynamic indicators and quality of life scores were significantly higher after treatment compared with pre-treatment,and the difference was statistically significant(t=10.800,26.900,28.600,10.500,11.200,10.400,20.500,6.210,14.800,14.800,13.800,11.500,17.600,P＜0.05).Conclusion:Integrated bladder care management combined with pelvic floor magnetic stimulation is of great clinical value in improving bladder function and quality of life in patients with neurogenic bladder.
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