文章摘要
曹效,吴慧楠,赵海红,毕胜.盆底肌电生物反馈电刺激对脊髓损伤患者肠道功能障碍的效果观察[J].中国康复,2019,34(11):575-578
盆底肌电生物反馈电刺激对脊髓损伤患者肠道功能障碍的效果观察
Effectiveness of pelvic floor electrical stimulation for neurogenic bowel after spinal cord injury
  
DOI:
中文关键词: 肌电生物反馈  脊髓损伤  神经源性肠道
英文关键词: myoelectric biofeedback  spinal cord injury  neurogenic bowel
基金项目:
作者单位
曹效 国家康复辅具研究中心附属康复医院北京 100176 
吴慧楠 国家康复辅具研究中心附属康复医院北京 100176 
赵海红 国家康复辅具研究中心附属康复医院北京 100176 
毕胜 国家康复辅具研究中心附属康复医院北京 100176 
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中文摘要:
      目的:探讨基于盆底肌电生物反馈电刺激(PES)对脊髓损伤引起的神经源性肠道(NB)功能障碍的效果。方法:将脊髓损伤(SCI)合并肠道障碍患者31例随机分为2组,观察组15例,对照组16例。2组均给予收缩肛门,盆底肌上提起训练,在此基础上,观察组进行20min、频率调制 25Hz/75Hz、带宽 500μs的生物反馈电刺激训练,疗程为20次。治疗前后对2组进行肠道功能评分与直肠超声检测评定。结果:治疗后,观察组患者Wexner便秘评分、Cleveland便失禁评分、神经源性肠道综合症状评分均较治疗前及对照组有明显降低(均P<0.01)。治疗后,观察组肛门外括约肌厚度及肛提肌群厚度与治疗前及对照组治疗后比较均明显提高(均P<0.01)。治疗后观察组肛门外括约肌、肛提肌群厚度的变化率比较均明显高于对照组(均P<0.01)。对照组治疗前后各项评定比较均差异无统计学意义。结论:盆底肌生物反馈电刺激可改善脊髓损伤患者肠道功能,肛门外括约肌,肛提肌群的厚度。
英文摘要:
      Objective: To investigate the effect of pelvic floor EMG biofeedback electrical stimulation (PES) on neurogenic bowel (NB) dysfunction induced by spinal cord injury (SCI).Methods:31 patients with SCI complicated with NB were randomly divided into two groups, 15 in the observation group and 16 in the control group. They all received anal and pelvic floor muscle contraction training. The observation group received electrical stimulation biofeedback (25 Hz/75 Hz, 500 μs) training additionally, 20 times, 20 min per time. Before and after treatment, intestinal function score and rectal ultrasonography were evaluated.Results: The Wexner constipation score, Cleveland urinary incontinence score and neurogenic bowel syndrome score were significantly lower in the observation group than in the control group (all P<0.01). As compared with the control group after treatment and the observation group before treatment separately, the thickness of the anal external sphincter and the levator ani muscle in the observation group after treatment was significantly ameliorated (all P<0.01). The change ratio of the thickness of the external anal sphincter and levator ani muscles in the observation group was significantly higher than in the control group (all P<0.01). There was no statistically significant difference before and after treatment in the control group. Conclusion: PES can improve the intestinal function, and increase thickness of external anal sphincter and levator ani muscle in patients with SCI.
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