摘要
目的:观察针灸推拿结合中频电刺激对脊髓损伤(SCI)后神经源性膀胱(NB)尿潴留的疗效。方法:选择我院2019年5月~2020年11月脊髓损伤后神经源性膀胱尿潴留患者64例,随机分为两组,对照组32例采用常规治疗,观察组32例在常规治疗的同时采用中医康复技术辅以调制中频电刺激,比较各组治疗前、治疗后7d、15d 24h排尿次数、24h平均单次尿量、残余尿量及膀胱内压力。结果:治疗后7d对照组24 h排尿次数、残余尿量、24h平均单次尿量较治疗前无明显变化,差异无统计学意义(P>0.05)。观察组治疗后7d 24 h排尿次数明显多于治疗前,残余尿量、24h平均单次尿量明显大于治疗前,差异有统计学意义(P<0.05)。治疗后15d,各组24 h排尿次数明显多于治疗前,残余尿量、24h平均单次尿量明显大于治疗前,差异均有统计学意义(P<0.05)。治疗7天、15天后观察组24 h排尿次数明显多于对照组,残余尿量、24h平均单次尿量明显大于对照组,差异均有统计学意义(P<0.05)。结论:针刺推拿结合中频电刺激可进一步促进SCI后NB尿潴留患者膀胱功能恢复,提高疗效。
Objective:To observe the effect of acu-moxi and massage combined with medium frequency electrical stimulation for neurogenic bladder(NB)urinary retention after spinal cord injury(SCI).Methods:64 patients with neurogenic bladder urinary retention after spinal cord injury in our hospital from May 2019 to November 2020 were selected and randomly divided into two groups.32 cases in the controlled group received conventional treatment,and 32 cases in the observation group received conventional treatment at the same time.Using traditional Chinese medicine rehabilitation technology supplemented by modulated intermediate frequency electrical stimulation,the number of urinations in each group before treatment,7 d,15 d 24 h,24 h average single urine volume,residual urine volume and pressure in the bladder were compared in each group.Results:7 days after treatment,the number of urination,residual urine volume,and average single urine volume at 24 h in the controlled group had no significant changes from before treatment,and the difference was not statistically significant(P>0.05).In the observation group,the number of urination at 7 d and 24 h after treatment was significantly higher than that before treatment,and the residual urine volume and the average single urine volume at 24 h were significantly greater than before treatment,the difference was statistically significant(P<0.05).15 days after treatment,the number of urination at 24 hours in each group was significantly greater than that before treatment,and the residual urine volume and the average single urine volume at 24 hours were significantly greater than before treatment,and the differences were statistically significant(P<0.05).After 7 days and 15 days of treatment,the observation group had significantly more urination times at 24 h than the controlled group,and the residual urine volume and the average single urine volume at 24 h were significantly greater than those in the controlled group,and the differences were statistically significant(P<0.05).Conclusion:Acu-moxi and massage combined with intermediate frequency electrical stimulation can further promote the recovery of bladder function for patients with NB urinary retention after SCI,and improve the curative effect.
作者
吴世凤
冯志兰
石贤科
WU Shifeng;FENG Zhilan;SHI Xianke(Department of Rehabilitation Medicine,the First People's Hospital of Yulin City,Yulin Guangxi 537000,China)
出处
《四川中医》
2022年第1期183-186,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
玉林市科学研究与技术开发计划项目(编号:玉市科20202012)
关键词
针灸推拿
调制中频电刺激
脊髓损伤
神经源性膀胱尿潴留
Acupuncture and massage
Modulated intermediate frequency electrical stimulation
Spinal cord injury
Neurogenic bladder urinary retention
