摘要
目的探讨八髎穴电针联合中频脉冲电刺激对神经源性膀胱尿失禁患者排尿功能及生活质量的影响。方法选取64例神经源性膀胱尿失禁患者,随机分为观察组和对照组各32例。对照组在常规治疗的基础上,加用中频脉冲电刺激治疗。观察组在采用对照组治疗措施的同时,加用八髎穴电针治疗。对比2组患者的治疗效果;对比2组患者治疗前后排尿功能、尿流动力学指标和生活质量综合评定量表(GQOLI-74)的评分结果;对比2组患者治疗过程中泌尿系感染及不良反应的发生率。结果观察组的显效率为44%,总有效率为97%,均显著高于对照组(P<0.05);观察组治疗后的自主排尿单次最大排尿量、单次尿量均显著多于治疗前和对照组,而24 h排尿次数、24 h尿失禁次数均显著少于治疗前和对照组(P<0.05);观察组治疗后的尿流速率最大值、膀胱测压容积最大值均显著高于治疗前和对照组,而残余尿量显著少于治疗前和对照组(P<0.05);观察组治疗过程中泌尿系感染发生率为6%,低于对照组,但差异无统计学意义(P>0.05)。结论八髎穴电针联合中频脉冲电刺激可显著改善神经源性膀胱尿失禁患者的排尿功能和生活质量,提高临床治疗效果。
Objective To explore the effect of electroacupuncture at Baliao points combined with intermediate frequency pulse electrical stimulation on urination function and quality of life of neurogenic bladder incontinence patients.Methods Sixty-four patients with neurogenic bladder incontinence were selected and randomly divided into the observation group and the control group,32 in each group.The control group was treated with intermediate frequency pulse electric stimulation on the basis of routine treatment.In addition to the above treatment measures,the observation group was treated with electroacupuncture at Baliao points.The therapeutic effects of the two groups were compared.The urinary function,urodynamic indexes and scores of GQOLI-74 before and after treatment were compared between the two groups.The incidence of urinary tract infection and adverse reactions were compared between the two groups.Results The effective rate of the observation group was 44%;the total effective rate was 97%,which was significantly higher than that of the control group(P<0.05).After treatment,the daily maximal single urinary voided volume and single daily urinary voided volume of the observation group was significantly more than those before treatment and of the control group,while the 24 h urine frequency and 24 h urine incontinence frequency were significantly less than those before treatment and of the control group(P<0.05).The maximum flow rate and maximum bladder pressure volume of the observation group were significantly higher than those before treatment and of the control group,while the residual urine volume was significantly less than that before treatment and of the control group(P<0.05).The incidence of urinary tract infection of the observation group was 6%,lower than that of the control group,but the difference was not statistically significant(P>0.05).Conclusion Electroacupuncture at Baliao points combined with intermediate frequency pulse electrical stimulation can significantly improve the urination function and quality of life of neurogenic bladder incontinence patients,and improve the clinical treatment effect.
作者
贾健
杨祎
魏小利
吕敏
严雅洁
徐亚红
张星楠
袁媛
Jia Jian;Yang Yi;Wei Xiaoli;Lv Min;Yan Yajie;Xu Yahong;Zhang Xingnan;Yuan Yuan(Department of Rehabilitation Medicine,Baoji Central Hospital,Shaanxi 721008,China;不详)
出处
《山西医药杂志》
CAS
2020年第17期2261-2264,共4页
Shanxi Medical Journal
基金
宝鸡市卫生健康委员会科研课题(2018-07)。
关键词
八髎穴
电针
电刺激疗法
膀胱神经原性
排尿
生活质量
Baliao points
Electroacupuncture
Electrical stimulation therapy
Urinary bladder neurogenic
Urination
Quality of life
