摘要
Abstract
Objective To investigate the effect of sacral nerve stimulation combined with bladder function training on patients with neurogenic bladder after stroke.Methods A total of 109 patients with post-stroke neurogenic bladder patients who were admitted to the Second Affiliated Hospital of Zhengzhou University from 2016-07-2018-03 were randomly divided into observation group (51 cases) and control group (58 cases).The control group was trained in bladder function, while the observation group was combined with sacral nerve stimulation on the basis of the control group.The therapeutic effects of the two groups were observed and the characteristics of urodynamic parameters before and after treatment were compared between the two groups.The 2-day urination diary (daily urination frequency, single urine volume and maximum urine output) and visual analogue scale (VAS).Results After treatment, the total effective rate of the observation group was significantly higher than that of the control group (86.3％ vs 65.5％, P＜0.05).The mean residual urine volume, mean bladder pressure, and mean maximum urethral closure pressure were significantly lower in the 2 groups, and the mean bladder volume and mean maximum urinary flow rate were significantly increased (P＜0.05).The improvement of the observation group was significantly better than that of the control group (P＜0.05).The frequency of urination, the number of urinary incontinence episodes, single urine volume and maximum urine output were significantly improved in the 2 groups (P＜0.05), and all the indicators were significantly better than the control group (P＜0.05).The VAS scores of the two groups were significantly lower, and the VAS scores of the observation group were significantly lower than those of the control group (P＞0.05).Conclusion The sacral nerve stimulation combined with bladder function training can improve the urinary dysfunction in patients with neurogenic bladder after stroke, and the effect is better than the simple use of bladder function training.关键词
脑卒中/神经源性膀胱/排尿障碍/骶神经刺激/膀胱功能训练/尿动力学Key words
Stroke/Neurogenic bladder/Urinary dysfunction/Sacral nerve stimulation/Bladder function training/Urodynamics分类
医药卫生
