中国伤残医学2024，Vol.32Issue(20) ：52-55,64.DOI:10.13214/j.cnki.cjotadm.2024.020.013

低频电刺激联合膀胱功能训练治疗脊髓损伤后尿失禁的效果

Effect of Low Frequency Electrical Stimulation Combined with Bladder Function Training on Urinary Incontinence after Spinal Cord Injury

孙军弟 于慧金 陈丹 何涛 杨小霞 牛见升 梁拴军 萧玉婷 赵腾蛟 达婷 张艳
中国伤残医学2024，Vol.32Issue(20) ：52-55,64.DOI:10.13214/j.cnki.cjotadm.2024.020.013
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低频电刺激联合膀胱功能训练治疗脊髓损伤后尿失禁的效果

Effect of Low Frequency Electrical Stimulation Combined with Bladder Function Training on Urinary Incontinence after Spinal Cord Injury

孙军弟 1于慧金 1陈丹 1何涛 1杨小霞 1牛见升 1梁拴军 1萧玉婷 1赵腾蛟 1达婷 1张艳1
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作者信息

  • 1. 甘肃省康复中心医院脊髓损伤康复科，甘肃 兰州 730030
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摘要

目的:探讨低频电刺激联合膀胱功能训练治疗脊髓损伤后尿失禁的效果及对患者生活质量的影响.方法:选取 2017年 7月—2024年 3月甘肃省康复中心医院脊髓损伤康复科收治的193例脊髓损伤后尿失禁患者为研究对象,采用随机数字表法分为对照组(n=73)及研究组(n=120).对照组进行膀胱功能训练,研究组采用低频电刺激联合膀胱功能训练,均持续 3个月.比较两组患者的排尿情况、尿动力学指标及生活质量.结果:治疗 3个月后,研究组的 24 h排尿次数、24 h漏尿次数、24 h导尿次数、残余尿量均低于对照组,差异均有统计学意义(P<0.05).治疗 3个月后,研究组的最大膀胱容量及膀胱顺应性均高于对照组,充盈末期逼尿肌压低于对照组,差异均有统计学意义(P<0.05).治疗 3个月后,研究组的尿失禁生活质量问卷中各维度评分及总分均高于对照组,差异均有统计学意义(P<0.05).结论:采用低频电刺激联合膀胱功能训练治疗脊髓损伤后尿失禁,可改善患者排尿功能,提高其生活质量,疗效理想.

Abstract

Objective:To investigate the effect of low frequency electrical stimulation combined with bladder function training on urinary incontinence after spinal cord injury and its influence on the quality of life of patients.Methods:A total of 193 patients with urinary incontinence after spinal cord injury admitted to the Spinal Cord Injury Rehabilitation Department of Gansu Province Rehabilitation Center Hospital from July 2017 to March 2024 were selected as the study objects,and were divided into a control group(n=73)and a study group(n=120)by random number table method.The control group received bladder function training,and the study group received low frequency electrical stimulation combined with bladder function training.Both groups were treated for 3 months.The urinary status,urodynamic indexes and quality of life were compared between the two groups.Results:After 3 months of treatment,the 24 h urination times,24 h urine leakage times,24 h catheterization times and residual urine volume of the study group were lower than those of the control group,the differences were statistically significant(P＜0.05).After 3 months of treatment,the maximum bladder capacity and bladder compliance of the study group were higher than those of the control group,and the detrusor at the end of filling was lower than that of the control group,the differences were statistically significant(P＜0.05).After 3 months of treatment,the scores and total score of the incontinence quality of life questionnaire in the study group were higher than those in the control group,the differences were statistically significant(P＜0.05).Conclusion:The treatment of urinary incontinence after spinal cord injury with low frequency electrical stimulation combined with bladder function training can improve the urination function and improve the quality of life of patients,and the curative effect is ideal.

关键词

脊髓损伤/尿失禁/低频电刺激/膀胱功能训练/疗效/生活质量

Key words

Spinal cord injury/Urinary incontinence/Low frequency electrical stimulation/Bladder function training/Curative effect/Quality of life

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出版年

2024
中国伤残医学
中国康复医学会，黑龙江省截瘫研究所

中国伤残医学

影响因子：0.451
ISSN：1673-6567
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