中国伤残医学2025，Vol.33Issue(7)：107-110,4.DOI:10.13214/j.cnki.cjotadm.2025.007.024
不同频率电刺激疗法对颈脊髓损伤合并尿潴留患者的疗效分析
Therapeutic Effect of Different Frequency Electrical Stimulation Therapy on Patients with Cervical Spinal Cord Injury Complicated with Urinary Retention
摘要
Abstract
Objective:To investigate the therapeutic effect of different frequency electrical stimulation therapy in patients with cervical spinal cord injury(CSCI)complicated with urinary retention.Methods:A total of 124 patients with CSCI combined with urinary retention admitted to Yudu County People's Hospital from November 2021 to June 2024 were selected as the study objects,and were divided into a control group,a 30 Hz group,a 50 Hz group and a 70 Hz group according to the random number table method,with 31 cases in each group.The control group was treated with routine rehabilitation training,and the 30 Hz group,50 Hz group and 70 Hz group were treated with 30,50 and 70 Hz frequency electrical stimulation therapy based on the control group,respectively.All four groups were intervened for 4 weeks.Urinary status,bladder function,quality of life and the occurrence of urinary tract infection were compared among the four groups.Results:After intervention,the internal bladder pressure and the single urination volume and the frequency of urination in 30 Hz group,50 Hz group and 70 Hz group were higher than those in control group,the residual urine volume was lower than that in control group,and all indexes in 30 Hz group and 50 Hz group were better than those in 70 Hz group,the differences were statistically significant(P<0.05).After intervention,there was no significant difference in bladder pressure,single urine volume,residual urine volume and frequency of urine between 30 Hz group and 50 Hz group(P>0.05).After intervention,the Mesure du Handicap Urinaire(MHU)scores in the four groups were lower than those before intervention,and the scores in 30 Hz group,50 Hz group and 70 Hz group were lower than that in the control group,and the scroes in 30 Hz group and 50 Hz group were lower than that in the 70 Hz group,the differences were statistically significant(P<0.05).After intervention,there was no significant difference in MHU scores between the 30 Hz group and the 50 Hz group(P>0.05).After intervention,Generic Quality of Life Inventory-74 scores of the four groups were higher than those before intervention,and the scores 30 in Hz group,50 Hz group and 70 Hz group were higher than that in the control group,and the scores in 30 Hz group and 50 Hz group were higher than that in the 70 Hz group,with statistical significance(P<0.05).After intervention,there was no significant difference in GQOLI-74 scores between the 30 Hz group and the 50 Hz group(P>0.05).The rates of urinary tract infections in the 30 Hz group,50 Hz group,70 Hz group,and control group were 3.23%,6.45%,12.90%,and 19.35%,respectively.There was no statistically significant difference among the four groups(P>0.05).Conclusion:The intervention of 30 Hz and 50 Hz electrical stimulation therapy for CSCI patients with urinary retention is superior to 70 Hz electrical stimulation therapy in improving urination and bladder function,which is conducive to improving the quality of life of patients and reducing the occurrence of urinary tract infection.关键词
颈脊髓损伤/电刺激疗法/频率/尿潴留Key words
Cervical spinal cord injury/Electrical stimulation therapy/Frequency/Urinary retention分类
医药卫生引用本文复制引用
张裕,吴骏,梁慧,刘伟,李娜..不同频率电刺激疗法对颈脊髓损伤合并尿潴留患者的疗效分析[J].中国伤残医学,2025,33(7):107-110,4.基金项目
江西省卫生健康委科技计划(202312191) （202312191）
