| 姚福超,陆晓敏,查贻荣,李金潞,魏慧.超声引导下尿道球囊扩张术对脊髓损伤后尿潴留的疗效研究[J].中国康复,2026,41(4):222-226 |
| 超声引导下尿道球囊扩张术对脊髓损伤后尿潴留的疗效研究 |
| Efficacy of ultrasound-guided urethral balloon dilation for urinary retention after spinal cord injury |
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| DOI：10.3870/zgkf.2026.04.006 |
| 中文关键词: 脊髓损伤 尿潴留 超声 心理复原力 尿道球囊扩张 Zelen设计 |
| 英文关键词: spinal cord injury urinary retention ultrasound psychological resilience urethral balloon dilation Zelen design |
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| 中文摘要: |
| 目的：本研究旨在评估超声引导下尿道球囊扩张术（UBD）在改善脊髓损伤（SCI）后尿潴留患者排尿功能方面的疗效。方法：采用Zelen设计的随机对照试验，纳入SCI合并尿潴留患者74例，按1∶1比例采用区组随机法分配至对照组和观察组各37例。2组均接受间歇导尿、针灸治疗和盆底肌功能训练等常规康复治疗，观察组增加超声引导下UBD，干预时间均为2周。采用神经源性膀胱症状评分（NBSS）、排尿日记、心理复原力量表（CD-RISC-10）评估2组的康复效果。结果：治疗前，2组NBSS评分、日均导尿次数、CD-RISC-10评分比较差异无统计学意义。治疗2周后，观察组排尿和储尿症状评分、结局评分、NBSS总分、日均导尿次数均降低（P<0.01），CD-RISC-10评分提高（P<0.01）；对照组日均导尿次数及结局评分较治疗前降低（P<0.01，0.05）；观察组日均导尿次数、排尿和储尿症状评分、NBSS总分、CD-RISC-10评分均优于对照组（P<0.01，0.05）；2组CD-RISC-10评分变化与日均导尿次数、排尿储尿症状评分及NBSS总分变化均存在相关性（P<0.01，0.05）。结论：超声引导下UBD可在短期内改善SCI患者排尿和储尿状况并减少导尿需求，同时提升患者的心理复原力水平。该方法创伤小、操作可行，具有临床推广应用价值。 |
| 英文摘要: |
| Objective: To evaluate the efficacy of ultrasound-guided urethral balloon dilation (UBD) in improving voiding function among patients with urinary retention after spinal cord injury (SCI). Methods: A randomized controlled trial with a Zelen design was conducted. A total of 74 inpatients with SCI-related urinary retention admitted were allocated 1∶1 to a intervention group or a control group. The intervention lasted 2 weeks. Primary outcomes were the neurogenic bladder symptom score (NBSS), voiding-diary measures and 10-item Connor-Davidson resilience scale (CD-RISC-10).Results: At baseline, there were no significant between-group differences in NBSS scores, mean daily catheterization frequency, or CD-RISC-10 scores. After 2 weeks of treatment, the intervention group demonstrated significant reductions in urinary storage and voiding symptom scores, outcome scores, total NBSS scores, and mean daily catheterization frequency (P<0.01), together with a significant increase in CD-RISC-10 scores (P<0.01). In the control group, mean daily catheterization frequency and outcome scores decreased significantly from baseline (P<0.01). Between-group comparisons at post-treatment showed that the intervention group achieved significantly better mean daily catheterization frequency, urinary storage and voiding symptom scores, total NBSS scores, and CD-RISC-10 scores than the control group (P<0.01, 0.05). In addition, changes in CD-RISC-10 scores were significantly correlated with changes in mean daily catheterization frequency, urinary storage and voiding symptom scores, and total NBSS scores (P<0.01, 0.05).Conclusion: Ultrasound-guided urethral balloon dilation can, in the short term, improve storage and voiding symptoms and reduce the need for catheterization, while also enhancing patients' psychological resilience. The procedure is minimally invasive and feasible, and merits further clinical adoption and long-term follow-up evaluation. |
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