| 张艳,于慧金,李惠玲,牛见升,曾伟杰,赵力生,孙军弟,张亦舒.盆底生物反馈联合膀胱功能训练对脊髓损伤神经源性膀胱的疗效及生活质量的影响[J].中国康复,2019,34(5):239-242 |
| 盆底生物反馈联合膀胱功能训练对脊髓损伤神经源性膀胱的疗效及生活质量的影响 |
| Effect of pelvic floor biofeedback combined with bladder function training on neurogenic bladder and quality of life |
| |
| DOI： |
| 中文关键词: 脊髓损伤 盆底生物反馈电刺激 膀胱功能训练 神经源性膀胱 生活质量 |
| 英文关键词: spinal cord injury pelvic floor biofeedback myoelectric stimulation bladder function training neurogenic bladder quality of life |
| 基金项目:甘肃省中医药管理局科研课题（GZK-2017-58） |
|
| 摘要点击次数: 7352 |
| 全文下载次数: 4799 |
| 中文摘要: |
| 目的：观察盆底生物反馈电刺激治疗联合膀胱功能训练对脊髓损伤神经源性膀胱的疗效及对患者生活质量的影响。方法：将96例不完全性脊髓损伤神经源性膀胱患者分为对照组45例和观察组51例。2组均给予常规膀胱功能训练，观察组在此基础上联合盆底生物反馈电刺激治疗。于治疗前1周、治疗4周和8周后采用尿流动力学检查和排尿日记对2组患者膀胱安全容量、残余尿量、日均排尿次数、漏尿次数和导尿次数进行比较，通过泌尿症状困扰评分（USDS）和国际下尿路症状评分（LUTS）评估2组患者的生活质量。结果：治疗4及8周后，2组患者日均漏尿次数、残余尿量及导尿次数均较治疗前呈持续下降(均P<0.05)，且观察组各时间点均低于对照组(均P<0.05)；2组日均排尿次数、日均单次排尿量及膀胱安全容量均较治疗前呈持续提高（均P<0.05），且观察组各时间点均高于对照组（P<0.05）。治疗4及8周后，2组患者USDS及LUTS评分均较治疗前呈持续下降（均P<0.05），且观察组各时间点均低于对照组(均P<0.05)。结论：盆底生物反馈电刺激联合膀胱功能训练，可进一步改善脊髓损伤神经源性膀胱患者的排尿功能，提高其生活质量。 |
| 英文摘要: |
| Objective:To observe the effect of pelvic floor biofeedback myoelectric stimulation combined with bladder function training on quality of life in patients with urge urinary incontinence and spinal cord injury.Methods:Ninety-six patients with incomplete spinal cord injury neurogenic bladder were divided into the control group (n=45) and the observation group (n=51). Both groups received bladder function training, and the observation group received pelvic floor biofeedback myoelectric stimulation additionally. The bladder safe capacity, the residual urine volume, daily average urination frequency, the number of urine leakage and catheterization times in two groups were compared 1 week before and after treatment for 4 and 8 weeks. The quality of life of patients was assessed by Urinary Symptoms Distress Score (USDS) and Lower Urinary Tract symptom Score (LUTS).Results:After 4 and 8 weeks of treatment, the daily average number of urine leakage, residual urine volume and catheterization times were significantly decreased as compared with those before treatment in both groups (P<0.05), more significantly in the observation group than in the control group at each time point after treatment; the average daily urination frequency, daily average urine output and bladder safe capacity were significantly increased in both groups (P<0.05), more significantly in the observation group than in the control group at each time point after treatment (P<0.05). After 4 and 8 weeks of treatment, the USDS and LUTS scores in both groups were significantly decreased as compared with those before treatment (P<0.05), more significantly in the observation group than in the control group at each time point after treatment (P<0.05).Conclusion:Pelvic floor biofeedback myoelectric stimulation combined with bladder function training could further improve the urinary function of patients with neurogenic bladder of spinal cord injury, and enhance their quality of life. |
|
查看全文
下载PDF阅读器 HTML全文 |
| 关闭 |
|
|
|
