摘要
目的:探讨脊髓损伤患者逼尿肌过度活动及尿失禁采用电针调节骶3神经治疗的临床效果。方法对我院2014年9月~2015年12月收治的30例脊髓损伤逼尿肌过度活动及尿失禁患者的临床资料进行回顾性分析。结果30例患者经过三个疗程的治疗后,患者最大膀胱容量、膀胱顺应性及充盈末期逼尿肌压均较治疗前明显改善,患者每周尿失禁次数、24 h排尿量、24 h排尿次数、每日夜尿次数均较治疗前有明显改善,差异具有统计学意义(<0.05)。结论电针调节骶3神经治疗脊髓损伤,有效的改善了患者尿失禁的症状,减少了患者尿失禁的次数、排尿急迫次数及急迫程度,患者耐受性好,安全、有效。
Objective To investigate the clinical effect of detrusor in patients with spinal cord injury and excessive activity of urinary incontinence treated by electroacupuncture treatment of 3 sacral nerve regulation.Methods 30 cases of spinal cord injury detrusor excessive activity and urine incontinence patients from period of 2014.9-2015.12 clinical data in our hospital were retrospective analysis.Results 30 cases of patients after three courses of treatment,patients with maximum bladder capacity and bladder adaptation and filling stage detrusor pressure was significantly improved compared with before treatment.The number of urinary incontinence per week,24 hours of urination,24h urination frequency,the number of daily night urine and the number of urine pad were significantly improved compared with before treatment,the difference was statistically significant(<0.05).Conclusion Electro acupuncture adjustment of sacral 3 nerve in the treatment of spinal cord injury,effectively improve the symptoms of patients with urinary incontinence.Reduce the number of patients with urinary incontinence,urgency frequency and urgency,patients are well tolerated,safe and effective.
作者
陈燕颜
刘德清
杨幸华
肖喜辉
CHEN Yan-yan;LIU De-qing;YANG Xing-hua;XIAO Xi-hui(Department of Spinal Injury Rehabilitation,Injury Rehabilitation Hospital of Guangdong Province,Guangzhou 510440,Guangdong,China;Department of Trauma Fracture Rehabilitation,Injury Rehabilitation Hospital of Guangdong ProvinceGuangzhou 510440,Guangdong,China)
关键词
脊髓损伤
电针治疗
逼尿肌活动过度
尿失禁
Spinal injury
Electro acupuncture therapy
Detrusor overactivity
Incontinentia urinae
