CAJ | 학술논문

目的观察运动想象疗法治疗外伤性脊髓损伤(SCI)后神经源性膀胱患者的疗效.方法采用随机数字表法将70例外伤性SCI后神经源性膀胱患者分为实验组及对照组.2组患者均给予常规膀胱功能干预,包括间歇导尿、逼尿肌反射诱发排尿、手法排尿等,实验组在此基础上辅以运动想象疗法.于治疗前、治疗2个月后分别检测2组患者尿失禁次数、平均膀胱容量、最大排尿量、残余尿量等指标,同时对2组患者生活质量进行评定.结果治疗后2组患者尿失禁次数、平均膀胱容量、残余尿量、排尿量及生活质量评分均明显改善(P＜0.05),并且上述指标均以实验组的改善幅度较显著,与对照组间差异均具有统计学意义(P＜0.05).结论在常规膀胱功能干预基础上辅以运动想象疗法,可进一步改善SCI后神经源性膀胱患者排尿功能,显著提高其生活质量.
목적 관찰운동상상요법치료외상성척수손상(SCI)후신경원성방광환자적료효.방법 채용수궤수자표법장70예외상성SCI후신경원성방광환자분위실험조급대조조.2조환자균급여상규방광공능간예,포괄간헐도뇨、핍뇨기반사유발배뇨、수법배뇨등,실험조재차기출상보이운동상상요법.우치료전、치료2개월후분별검측2조환자뇨실금차수、평균방광용량、최대배뇨량、잔여뇨량등지표,동시대2조환자생활질량진행평정.결과 치료후2조환자뇨실금차수、평균방광용량、잔여뇨량、배뇨량급생활질량평분균명현개선(P＜0.05),병차상술지표균이실험조적개선폭도교현저,여대조조간차이균구유통계학의의(P＜0.05).결론 재상규방광공능간예기출상보이운동상상요법,가진일보개선SCI후신경원성방광환자배뇨공능,현저제고기생활질량.
Objective To explore the clinical efficacy of motor imagery therapy in treating neurogenic bladder dysfunction after traumatic spinal cord injury (SCI).Methods Seventy patients with neurogenic bladder control problems after SCI were randomly divided into an experimental group and a control group using a random number table.All patients of the two groups were given general bladder function intervention,including intermittent catheterization,inducing voiding by reflex detrusor contraction,Credé's maneuver urination,etc.Additionally,the patients in the experimental group were given supplemental motor imagery therapy.The times of urinary incontinence,average bladder capacity,maximum voided volume and residual urine volume of the two groups were measured before treatment and at 2 months after treatment.The two groups' outcomes were quantified using a quality of life (QOL) score.Results Incidents of urinary incontinence,average bladder capacity,residual urine volume,voided volume and the QOL score showed significant improvements in both groups,but the experimental group showed better improvements than the control group.The differences were statistically significant.Conclusion The combination of general bladder function intervention with motor imagery therapy can improve the voiding function of patients with neurogenic bladder disorders after SCI more significantly and enhance their QOL.