浙江医学2017，Vol.39Issue(4)：273-276,4.DOI:10.12056/j.issn.1006-2785.2017.39.4.2016-697
盆底肌电刺激法与膀胱训练法治疗不完全脊髓损伤术后排尿障碍的比较研究
Postoperative treatment of urinary dysfunction in patients with incomplete spinal cord injury: electrical pelvic floor stimulation versus bladder training therapy
摘要
Abstract
Objective To compare electrical pelvic floor stimulation with bladder training therapy in treatment of urinary dysfunction in patients with incomplete spinal cord injury after operation.Methods Seventy three patients with incomplete spinal cord injury were randomly assigned to study group(n=35) and control group (n=38).Patients in study group was given electrical pelvic floor stimulation while those in control group were given bladder training therapy for urinary dysfunction.Residual volume of urine was evaluated with ultrasonography,the urinary function was assessed with urodynamic examinations,the urinary catheter extraction rate and the urinary tract infection rate were recorded.Results The successful rate of urinary catheter extraction rate in study group was significant higher than that in control group (P＜0.05).The residue urine volume (RUV),maximum urinary flow rate (MFR),average urinary flow rate (AFR),and detrusor pressure at peak flow (PdetQmax) after treatment were all higher than those before treatment in both groups (all P＜0.05).There was no significant difference in the improvement of urodynamic parameters between two groups at the end of follow up (all P ＞0.05).The time of indwelling catheter was shorter and urinary tract infection rate was lower in study group than those in control group (all P＜0.05).Conclusion The electrical stimulation of the pelvic floor and bladder training therapy can both improve the function of urination in patients with incomplete spinal cord injury after operation.However,the time of recovery is shorter with electrical pelvic floor stimulation than that with bladder training therapy.关键词
电刺激/膀胱训练/脊髓/对照研究Key words
Electrical stimulation/Bladder training therapy/Spinal cord/Controlled trial引用本文复制引用
刘良乐,戴鸣海,刘敏,汤呈宣,何少奇,钟熙强..盆底肌电刺激法与膀胱训练法治疗不完全脊髓损伤术后排尿障碍的比较研究[J].浙江医学,2017,39(4):273-276,4.基金项目
温州市科技计划攻关项目(Y20140149) （Y20140149）
瑞安市科技发展基金资助项目(YY2014016) （YY2014016）
