CAJ | 학술논문

目的：探讨采用间歇导尿、膀胱功能训练及神经肌肉电刺激(nMes）综合疗法对脊髓损伤后神经源性膀胱功能障碍的治疗效果，为脊髓损伤后神经源性膀胱功能障碍康复治疗提供一定的理论参考依据。方法将30例脊髓损伤后神经源性膀胱功能障碍患者随机分为对照组（15例）和治疗组（15例），其中对照组15例患者进行间歇导尿和膀胱功能训练治疗，治疗组15例患者采用间歇导尿、膀胱功能训练及神经肌肉电刺激(nMes）综合疗法治疗，1个月后观察并比较两组患者残余尿量及膀胱容量的变化，同时进行尿动力学检测。结果治疗后对照组患者残余尿量平均为（129.4±6.13）ml，膀胱容量（309.6±7.84）ml，治疗组患者残余尿量平均为（101.7±7.15）ml，膀胱容量（364.8±6.94） ml，两组患者残余尿量均显著低于治疗前，膀胱容量在治疗后显著得到提高（P ＜0.05）；治疗组患者残余尿量、膀胱容量的改善状况及尿动力学检测结果明显优于对照组（P ＜0.05），具有统计学意义。结论采用间歇导尿、膀胱功能训练及神经肌肉电刺激(nMes)综合疗法治疗脊髓损伤后神经源性膀胱功能障碍患者疗效确切，值得进一步推广使用。
목적：탐토채용간헐도뇨、방광공능훈련급신경기육전자격(nMes）종합요법대척수손상후신경원성방광공능장애적치료효과，위척수손상후신경원성방광공능장애강복치료제공일정적이론삼고의거。방법장30례척수손상후신경원성방광공능장애환자수궤분위대조조（15례）화치료조（15례），기중대조조15례환자진행간헐도뇨화방광공능훈련치료，치료조15례환자채용간헐도뇨、방광공능훈련급신경기육전자격(nMes）종합요법치료，1개월후관찰병비교량조환자잔여뇨량급방광용량적변화，동시진행뇨동역학검측。결과치료후대조조환자잔여뇨량평균위（129.4±6.13）ml，방광용량（309.6±7.84）ml，치료조환자잔여뇨량평균위（101.7±7.15）ml，방광용량（364.8±6.94） ml，량조환자잔여뇨량균현저저우치료전，방광용량재치료후현저득도제고（P ＜0.05）；치료조환자잔여뇨량、방광용량적개선상황급뇨동역학검측결과명현우우대조조（P ＜0.05），구유통계학의의。결론채용간헐도뇨、방광공능훈련급신경기육전자격(nMes)종합요법치료척수손상후신경원성방광공능장애환자료효학절，치득진일보추엄사용。
Objective To explore the using of intermittent catheterization, bladder training and neuromuscular electrical stimulation (nMes) for spinal cord injury neurogenic bladder dysfunction treatment, to provide a theoretical reference for clinically effective treatment of spinal cord injury neurogenic bladder dysfunction.Methods the 30 cases of with spinal cord injury neurogenic bladder dysfunction were randomly divided into control group (15 cases) and treatment group (15 cases), in which the control group of 15 cases patients underwent intermittent catheterization and bladder training therapy, and the treatment group of 15 cases patients with intermittent catheterization, bladder training and NMES combination therapy. A month later the two groups were observed and compared the changes in residual urine volume and bladder capacity, urodynamic testing simultaneously. Results The control group of patients averaged residual urine volume was (129.4 ± 6.13) ml, averaged bladder capacity was (309.6 ± 7.84) ml, and the treatment group of patients averaged residual urine volume was(101.7 ± 7.15) ml, averaged bladder capacity was(364.8 ± 6.94) ml, the residual urine in two groups of patients were significantly lower than before treatment, and bladder volume was significantly improved after treatment(P <0.05); the treatment group of patients, residual urine volume, bladder capacity had improved and urodynamic test results was better than the control group (P <0.05),there was a statistical significance. Conclusion The efficacy was well using intermittent catheterization, bladder training and NMES combination therapy for spinal cord injury neurogenic bladder dysfunction treatment, it was worthy of further promoting use.