| 杨 悦,张治强,杨 颖,蒋红英,叶 静,杜春萍.低频电刺激结合康复训练对脊髓损伤神经源性膀胱患者排尿症状、膀胱功能及生活质量的影响[J].,2020,(15):2863-2867 |
| 低频电刺激结合康复训练对脊髓损伤神经源性膀胱患者排尿症状、膀胱功能及生活质量的影响 |
| Effects of Low Frequency Electrical Stimulation Combined with Rehabilitation Training on Micturition Symptoms, Bladder Function and Quality of Life of Neurogenic Bladder Patients with Spinal Cord Injury |
| 投稿时间：2020-03-04 修订日期：2020-03-27 |
| DOI：10.13241/j.cnki.pmb.2020.15.012 |
| 中文关键词: 低频电刺激 康复训练 脊髓损伤 神经源性膀胱 排尿症状 |
| 英文关键词: Low frequency electrical stimulation Rehabilitation training Spinal cord injury Neurogenic bladder Micturition symptoms |
| 基金项目:国家自然科学基金项目（81572231） |
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| 中文摘要: |
| 摘要 目的：探讨低频电刺激结合康复训练对脊髓损伤（SCI）诱发神经源性膀胱（NB）患者排尿症状、膀胱功能及生活质量的影响。方法：选取2017年3月~2019年12月期间我院收治的SCI诱发NB患者97例，根据随机数字表法分为对照组（n=48）和研究组（n=49），对照组患者予以康复训练，研究组在对照组基础上联合低频电刺激，比较两组患者排尿症状、膀胱功能、生活质量及并发症发生情况。结果：两组治疗2周后、治疗4周后日膀胱内压力、24 h单次排尿量、排尿次数、膀胱容量均较治疗前增加，且研究组高于对照组（P<0.05）；残余尿量均较治疗前下降，且研究组低于对照组（P<0.05）。两组治疗2周后、治疗4周后膀胱功能积分均较治疗前下降，且研究组低于对照组（P<0.05）。两组治疗4周后情感职能、躯体疼痛、精神健康、活力、生理职能、生理机能、健康状况、社会功能维度评分均升高，且研究组高于对照组（P<0.05）。研究组并发症总发生率低于对照组（P<0.05）。结论：低频电刺激结合康复训练治疗SCI诱发NB患者，可有效改善患者排尿症状，提高其膀胱功能及生活质量，同时还可减少并发症发生率，具有一定的临床应用价值。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of low frequency electrical stimulation combined with rehabilitation training on micturition symptoms, bladder function and quality of life of neurogenic bladder (NB) patients induced by spinal cord injury (SCI). Methods: 97 patients with NB induced by SCI in our hospital from March 2017 to December 2019 were selected, patients were divided into control group (n=48) and study group (n=49) according to the method of random number table. The patients in the control group were given rehabilitation training. The study group was combined with lowfrequency electrical stimulation on the basis of the control group. The urination symptoms, bladder function, quality of life and complications of the two groups were compared. Results: 2 weeks and 4 weeks after treatment, the number of Intravesical pressure, 24 h single micturition volume, times of micturition, bladder volume in the two groups increased compared with before treatment, and study group was higher than control group (P<0.05). The residual urine volume was lower than that before treatment, study group was lower than control group (P<0.05). 2 weeks and 4 weeks after treatment, the bladder function scores of the two groups were lower than before treatment, study group was lower than control group (P<0.05). The scores of emotional function, physical pain, mental health, vitality, physiological function, physiological function, health status and social function in the two groups increased, study group were higher than control group (P<0.05). The total incidence of complications in the study group was lower than that in the control group (P<0.05). Conclusion: Low frequency electrical stimulation combined with rehabilitation training can effectively improve the symptoms of micturition, improve the bladder function and quality of life of patients with NB induced by SCI, at the same time, and it can reduce the incidence of complications, and have a high clinical application value. |
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