北京中医药大学学报2024，Vol.47Issue(6)：826-834,9.DOI:10.3969/j.issn.1006-2157.2024.06.014
"三调针法"联合重复功能性磁刺激治疗脊髓损伤后逼尿肌无力型神经源性膀胱临床疗效观察
Clinical observation of"three modulation acupuncture"combined with repeated functional magnetic stimulation in the treatment of neurogenic bladder with detrusor muscle weakness after spinal cord injury
摘要
Abstract
Objective To observe the clinical efficacy of"three modulation acupuncture"combined with repeated functional magnetic stimulation(rFMS)in the treatment of neurogenic bladder with detrusor muscle weakness after spinal cord injury.Methods A total of 120 patients with neurogenic bladder with detrusor muscle weakness after spinal cord injury were divided into conventional treatment group,"three modulation acupuncture"treatment group,rFMS treatment group and comprehensive treatment group according to the random number table method,with 30 patients per group.The conventional treatment group was given conventional rehabilitation treatment,the"three modulation acupuncture"treatment group was treated with"three modulation acupuncture"(modulating spirit,modulating reflex arc,and modulating lower jiao and waterway)based on conventional rehabilitation treatment,the rFMS treatment group was treated with rFMS based on conventional rehabilitation treatment,and the comprehensive treatment group was treated with"three modulation acupuncture"and rFMS based on conventional rehabilitation treatment.The first desire to void(FDV),maximum cystometric capacity(MCC),maximum detrusor pressure of urine storage period(Pdet.max),maximum intravesical pressure of urine storage period(Pves.max),average daily urination frequency,average daily urine leakage,residual urine volume,and neurogenic bladder symptom scores of the patients were compared before and after treatment,and the clinical effectiveness of each group was evaluated.Results After treatment,the FDV,MCC,and Pdet.max of the four groups were all increased compared with those before treatment,and Pves.max,the average daily urination frequency,the average daily frequency of urine leakage,the residual urine volume,and the neurogenic bladder symptom scores were all decreased(P<0.05).After treatment,the FDV,MCC,and Pdet.max of the"three modulation acupuncture"treatment group,the rFMS treatment group and the comprehensive treatment group were all higher than those of the conventional treatment group,and Pves.max,the average daily urination frequency,the average daily frequency of urine leakage,the residual urine volume,and the neurogenic bladder symptom scores were all lower(P<0.05).After treatment,the comprehensive treatment group had a higher FDV,MCC,and Pdet.max than the"three modulation acupuncture"treatment group and rFMS treatment group,and Pves.max,the average daily urination frequency,the average daily frequency of urine leakage,the residual urine volume,and the neurogenic bladder symptom scores were lower(P<0.05).The curative efficiency rates were 86.2%(25/29)in the"three modulation acupuncture"treatment group,85.7%(24/28)in the rFMS treatment group,and 92.6%(25/27)in the comprehensive treatment group,which was higher than that of the conventional treatment group,which was 75.9%(22/29).Conclusion"Three modulation acupuncture"and rFMS can effectively improve the functional status of the bladder in patients of neurogenic bladder with detrusor muscle weakness after spinal cord injury,and their combined application has a synergistic effect.关键词
三调针法/重复功能性磁刺激/脊髓损伤/逼尿肌无力型神经源性膀胱Key words
three modulation acupuncture/repeated functional magnetic stimulation/spinal cord injury/neurogenic bladder with detrusor muscle weakness分类
医药卫生引用本文复制引用
庞永强,徐秀梅,徐彦龙,程子潇,董春璇,张燕琴,张茜,马涵.."三调针法"联合重复功能性磁刺激治疗脊髓损伤后逼尿肌无力型神经源性膀胱临床疗效观察[J].北京中医药大学学报,2024,47(6):826-834,9.基金项目
甘肃省自然科学基金项目(No.22JR5RA618) （No.22JR5RA618）
甘肃省青年科技基金项目(No.21JR7RA592) （No.21JR7RA592）
甘肃省中医药管理局项目(No.GZKP-2022-11) Natural Science Foundation of Gansu Province(No.22JR5RA618) （No.GZKP-2022-11）
