| 李奕琴,李娜,何晓阔,王俊华.电针结合骶神经根磁刺激治疗脊髓损伤后神经源性膀胱的临床观察[J].中国康复,2015,30(2):103-105 |
| 电针结合骶神经根磁刺激治疗脊髓损伤后神经源性膀胱的临床观察 |
| Effect of electro-acupuncture combined with magnetic stimulation of the sacral nerve roots on the neurogenic bladder after spinal cord injury |
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| DOI： |
| 中文关键词: 电针 磁刺激 脊髓损伤 神经源性膀胱 |
| 英文关键词: electro-acupuncture magnetic stimulation spinal cord injury neurogenic bladder |
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| 中文摘要: |
| 目的：观察电针结合骶神经根磁刺激对脊髓损伤（SCI）后神经源性膀胱（NB）的临床疗效。方法：选取80例SCI后NB的患者，随机分为常规组、电针组、磁刺激组和联合组各20例，联合组为前3种治疗方法的联合应用，并均在执行饮水计划的前提下行间歇性清洁导尿。分别于治疗前后比较患者的排尿日记评定和尿流动力学变化，并进行因排尿症状而影响的生存质量评分。结果：治疗4周后，对排尿日记、尿流动力学各项指标及生存质量评分比较发现，联合组明显优于常规组、电针组和磁刺激组，电针组和磁刺激组均明显优于常规组（均P<0.05）。结论：电针及骶神经根磁刺激治疗均能改善SCI后NB患者的排尿功能，而联合治疗效果更好。 |
| 英文摘要: |
| Objective: To observe the clinical efficacy of electro-acupuncture combined with magnetic stimulation of the sacral nerve roots for the neurogenic bladder in patients with spinal cord injury. Methods: Eighty patients with neurogenic bladder following spinal cord injury were randomly divided into four groups (n=20 each): conventional group, electro-acupuncture group, magnetic stimulation group and combination group. The combination group was treated by the three methods mentioned above, and the patients were given drinking project and intermittent catheterization. Emiction diary, urodynamic investigation and quality of life score were applied to evaluate the efficacy. Results: By comparing the differences in the indicators of emiction diary and urodynamics after treatment, it was found that the efficacy in the combination group was significantly better than the conventional group, electro-acupuncture group and magnetic stimulation group, and that in the electro acupuncture group and magnetic stimulation group was significantly better than in the conventional group (P<0.05). The quality of life score in the combination group was lower than in the rest three groups (P<0.05). Conclusion: Both electro acupuncture and magnetic stimulation therapy could significantly improve emiction function, and electro-acupuncture combined with magnetic stimulation of the sacral nerve roots can obtain more satisfactory efficacy. |
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