CAJ | 학술논문

目的：比较两种频率经皮神经电刺激(TENS)治疗脑卒中后尿失禁的效果。方法81例脑卒中后尿失禁患者分为A组(n=27)、B组(n=27)和C组(n=27)。A组和B组予双相方波脉、宽150μs TENS每次30 min，每天1次治疗，A组频率20 Hz，B组75 Hz；C组予常规内科治疗，共90 d。治疗前后，分别采用膀胱过度活动症状评分(OABSS)、Barthel指数(BI)、排尿日记进行评估。结果治疗后，A组、B组OABSS、BI总分、排尿日记较之治疗前改善(P<0.05)，A组明显优于B组(P<0.01)，C组与治疗前无显著性差异(P>0.05)。结论频率20 Hz的TENS对改善尿失禁症状有更好的疗效。
목적：비교량충빈솔경피신경전자격(TENS)치료뇌졸중후뇨실금적효과。방법81례뇌졸중후뇨실금환자분위A조(n=27)、B조(n=27)화C조(n=27)。A조화B조여쌍상방파맥、관150μs TENS매차30 min，매천1차치료，A조빈솔20 Hz，B조75 Hz；C조여상규내과치료，공90 d。치료전후，분별채용방광과도활동증상평분(OABSS)、Barthel지수(BI)、배뇨일기진행평고。결과치료후，A조、B조OABSS、BI총분、배뇨일기교지치료전개선(P<0.05)，A조명현우우B조(P<0.01)，C조여치료전무현저성차이(P>0.05)。결론빈솔20 Hz적TENS대개선뇨실금증상유경호적료효。
Objective To compare the effects of 2 kinds of frequency of transcutaneous electrical nerve stimulation (TENS) on urinary incontinence after stroke. Methods 81 patients with post-stroke urinary incontinence were randomized into group A (n=27), group B (n=27) and group C (n=27), who accepted TENS (biphasic square waves with pulse durations of 150μs) in 20 Hz, 75 Hz and medcine only, respec-tively, for 90 days. They were assessed with Overactive Bladder Symptom Scores (OABSS), Barthel Index (BI), and voiding diary before and after treatment. Results The OABSS, BI and voiding diary improved significantly after treatment (P<0.05) in groups A and B, and im-proved more in the group A than in the group B. There was not significant improvement in the group C (P>0.05). Conclusion TENS of 20 Hz is more effective to reduce the incontinence post stroke.