文章摘要

低频电刺激联合Motomed运动训练对脊髓损伤致神经源性膀胱患者的影响

作者: 1王颖, 1戈弋巾
1 无锡市精神卫生中心康复科,江苏 无锡 214000
通讯: 王颖 Email: wing18068257797@163.com
DOI: 10.3978/j.issn.2095-6959.2022.08.026

摘要

目的:探究低频电刺激联合Motomed运动训练对脊髓损伤致神经源性膀胱患者的影响。方法:选取2019年1月至2022年1月无锡市精神卫生中心收治脊髓损伤致神经源性膀胱患者96例,采用随机数字表法分为两组,各48例。对照组行低频电刺激治疗,观察组在对照组基础上实施Motomed运动训练。对比两组临床疗效、排尿情况、尿流动力学、症状改善情况及并发症发生率。结果:观察组临床总有效率高于对照组(P<0.05);观察组干预2个月后日均单次排尿量、日单次最大排尿量及日均排尿次数均多于对照组(均P<0.05);观察组干预2个月后残余尿量少于对照组,最大尿流率、膀胱内压力、膀胱容量均高于对照组(均P<0.05);观察组干预2个月后国际下尿路症状评分量表(lower urinary tract symptom,LUTS)、泌尿症状困扰评分量表(Urinary Symptom Distress Scale,USDS)评分均低于对照组(均P<0.05);观察组总并发症发生率低于对照组(P<0.05)。结论:低频电刺激联合Motomed运动训练应用于脊髓损伤致神经源性膀胱患者可提高疗效,改善排尿情况及尿流动力学指标,减轻临床症状,降低并发症发生率。
关键词: 间歇导尿;低频电刺激;Motomed运动训练;脊髓损伤;神经源性膀胱;疗效

Effect of low-frequency electrical stimulation combined with Motomed exercise training on patients with neurogenic bladder caused by spinal cord injury

Authors: 1WANG Ying, 1GE Yijin
1 Department of Rehabilitation, Wuxi Mental Health Center, Wuxi Jiangsu 214000, China

CorrespondingAuthor: WANG Ying Email: wing18068257797@163.com

DOI: 10.3978/j.issn.2095-6959.2022.08.026

Abstract

Objective: To explore the effect of low-frequency electrical stimulation combined with Motomed exercise training on patients with neurogenic bladder caused by spinal cord injury. Methods: A total of 96 patients with neurogenic bladder caused by spinal cord injury in Wuxi Mental Health Center from January 2019 to January 2022 were randomly divided into 2 groups with 48 cases in each group. The control group was treated with low-frequency electrical stimulation, and the observation group implemented Motomed exercise training on the basis of the control group. The clinical efficacy, urination, urodynamics, symptom improvement, and the incidence of complications were compared between the 2 groups. Results: The total clinical effective rate of the observation group was higher than that of the control group (P<0.05); the daily urination volume, maximum daily urination volume, and average daily urination frequency after 2 months of intervention in the observation group were more than those in the control group (all P<0.05). The residual urine volume of the observation group after 2 months of intervention was less than that of the control group, and the maximum urine flow rate, intravesical pressure, and bladder volume were higher than those of the control group (all P<0.05). Lower urinary tract symptom (LUTS) and Urinary Symptom Distress Scale (USDS) scores of the observation group were lower than those of the control group after 2 months of intervention (both P<0.05); the total complication rate in the observation group was lower than that in the control group (P<0.05). Conclusion: Low-frequency electrical stimulation combined with Motomed exercise training in patients with neurogenic bladder caused by spinal cord injury can improve the efficacy, improve urination and urodynamic indicators, reduce clinical symptoms, and reduce the incidence of complications.

Keywords: intermittent catheterization; low-frequency electrical stimulation; Motomed exercise training; spinal cord injury; neurogenic bladder; curative effect

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