CAJ | 학술논문

目的：：观察电针结合骶神经根磁刺激对脊髓损伤(SCI)后神经源性膀胱(NB)的临床疗效。方法：选取80例 SCI 后 NB 的患者，随机分为常规组、电针组、磁刺激组和联合组各20例，联合组为前3种治疗方法的联合应用，并均在执行饮水计划的前提下行间歇性清洁导尿。分别于治疗前后比较患者的排尿日记评定和尿流动力学变化，并进行因排尿症状而影响的生存质量评分。结果：治疗4周后，对排尿日记、尿流动力学各项指标及生存质量评分比较发现，联合组明显优于常规组、电针组和磁刺激组，电针组和磁刺激组均明显优于常规组(均 P <0.05)。结论：电针及骶神经根磁刺激治疗均能改善 SCI 后 NB 患者的排尿功能，而联合治疗效果更好。
목적：：관찰전침결합저신경근자자격대척수손상(SCI)후신경원성방광(NB)적림상료효。방법：선취80례 SCI 후 NB 적환자，수궤분위상규조、전침조、자자격조화연합조각20례，연합조위전3충치료방법적연합응용，병균재집행음수계화적전제하행간헐성청길도뇨。분별우치료전후비교환자적배뇨일기평정화뇨류동역학변화，병진행인배뇨증상이영향적생존질량평분。결과：치료4주후，대배뇨일기、뇨류동역학각항지표급생존질량평분비교발현，연합조명현우우상규조、전침조화자자격조，전침조화자자격조균명현우우상규조(균 P <0.05)。결론：전침급저신경근자자격치료균능개선 SCI 후 NB 환자적배뇨공능，이연합치료효과경호。
Objective:To observe the clinical efficacy of electro-acupuncture combined with magnetic stimulation of the sacral nerve roots for the neurogenic bladder in patients with spinal cord injury.Methods:Eighty patients with neurogenic bladder following spinal cord injury were randomly divided into four groups (n=20 each):conventional group,electro-acupuncture group,magnetic stimulation group and combination group.The combination group was treated by the three methods mentioned above,and the patients were given drinking project and intermittent cathe-terization.Emiction diary,urodynamic investigation and quality of life score were applied to evaluate the efficacy. Results:By comparing the differences in the indicators of emiction diary and urodynamics after treatment,it was found that the efficacy in the combination group was significantly better than the conventional group,electro-acu-puncture group and magnetic stimulation group,and that in the electro-acupuncture group and magnetic stimulation group was significantly better than in the conventional group (P <0.05).The quality of life score in the combination group was lower than in the rest three groups (P <0.05).Conclusion:Both electro-acupuncture and magnetic stim-ulation therapy could significantly improve emiction function,and electro-acupuncture combined with magnetic stim-ulation of the sacral nerve roots can obtain more satisfactory efficacy.