新医学
新醫學
신의학
NEW CHINESE MEDICINE
2014年
1期
57-59
,共3页
神经肌肉电刺激%脊髓损伤%神经源性膀胱%临床疗效
神經肌肉電刺激%脊髓損傷%神經源性膀胱%臨床療效
신경기육전자격%척수손상%신경원성방광%림상료효
Neuromuscular electrical stimulation%Spinal cord injury%Neurogenic bladder%Clinical effects
目的：探讨神经肌肉电刺激辅助治疗脊髓损伤神经源性膀胱（NB）的临床疗效。方法将72例脊髓损伤NB患者随机分为电刺激组和常规组各36例。常规组仅接受康复治疗结合膀胱训练等常规治疗，观察组在常规组治疗基础上辅助接受神经肌肉电刺激治疗。比较两组治疗后的总有效率、24 h排尿次数、每次排尿量、残余尿量以及神经功能评分（ASIA评分）。结果治疗后观察组的总有效率、24 h 排尿次数、每次排尿量、残余尿量方面均优于常规组[分别为97.2％ vs.55.6％，（5.1±1.2）次vs （8.3±2.2）次，（189.9±11.4）ml vs （145.3±10.8）ml，（90.2±2.4） ml vs （110.1±3.3）ml，均为P＜0.05]。两组的ASIA评分比较差异无统计学意义（P＞0.05）。两组均无发生明显不良反应。结论神经肌肉电刺激辅助治疗能明显改善脊髓损伤NB患者临床症状，有利于患者康复，是一种治疗NB的好的辅助疗法。
目的：探討神經肌肉電刺激輔助治療脊髓損傷神經源性膀胱（NB）的臨床療效。方法將72例脊髓損傷NB患者隨機分為電刺激組和常規組各36例。常規組僅接受康複治療結閤膀胱訓練等常規治療，觀察組在常規組治療基礎上輔助接受神經肌肉電刺激治療。比較兩組治療後的總有效率、24 h排尿次數、每次排尿量、殘餘尿量以及神經功能評分（ASIA評分）。結果治療後觀察組的總有效率、24 h 排尿次數、每次排尿量、殘餘尿量方麵均優于常規組[分彆為97.2％ vs.55.6％，（5.1±1.2）次vs （8.3±2.2）次，（189.9±11.4）ml vs （145.3±10.8）ml，（90.2±2.4） ml vs （110.1±3.3）ml，均為P＜0.05]。兩組的ASIA評分比較差異無統計學意義（P＞0.05）。兩組均無髮生明顯不良反應。結論神經肌肉電刺激輔助治療能明顯改善脊髓損傷NB患者臨床癥狀，有利于患者康複，是一種治療NB的好的輔助療法。
목적：탐토신경기육전자격보조치료척수손상신경원성방광（NB）적림상료효。방법장72례척수손상NB환자수궤분위전자격조화상규조각36례。상규조부접수강복치료결합방광훈련등상규치료，관찰조재상규조치료기출상보조접수신경기육전자격치료。비교량조치료후적총유효솔、24 h배뇨차수、매차배뇨량、잔여뇨량이급신경공능평분（ASIA평분）。결과치료후관찰조적총유효솔、24 h 배뇨차수、매차배뇨량、잔여뇨량방면균우우상규조[분별위97.2％ vs.55.6％，（5.1±1.2）차vs （8.3±2.2）차，（189.9±11.4）ml vs （145.3±10.8）ml，（90.2±2.4） ml vs （110.1±3.3）ml，균위P＜0.05]。량조적ASIA평분비교차이무통계학의의（P＞0.05）。량조균무발생명현불량반응。결론신경기육전자격보조치료능명현개선척수손상NB환자림상증상，유리우환자강복，시일충치료NB적호적보조요법。
Objective To explore the clinical effects of treatment with neuromuscular electrical stim-ulation in neurogenic bladder (NB)caused by spinal cord injury. Methods Seventy-two cases of NB caused by spinal cord injury were divided into the electrical stimulation group (n=36)and the conventional therapy group (n=36)randomly. The conventional therapy group received conventional therapy,the electrical stimu-lation group received conventional therapy and neuromuscular electrical stimulation. The total efficiency,24 h frequency of urination,urinary output,residual urine volume each time and ASIA score were compared in two groups after treatment. Results The total efficiency,24 h frequency of urination,urinary output,residual u-rine volume each time and ASIA score of the electrical stimulation group were better than those of conventional therapy group [97.2% vs. 55.6%,(5.1 ±1.2)times vs. (8.3 ±2.2)times,(189.9 ±11.4)ml vs.(145.3 ±10.8)ml,(90.2 ±2.4)ml vs. (110.1 ±3.3)ml,P<0.05]. There was no statistical differ-ence of ASIA scores in two groups. There was no obvious adverse events in both groups. Conclusion Neuro-muscular electrical stimulation has specific advantage in treatment of NB caused by spinal cord injury,which can significantly improve the clinical symptoms and is conducive to the rehabilitation of patients.
