目的:利用Meta分析的方法研究国内外关于低频电刺激结合康复训练治疗脊髓损伤神经源性膀胱患者疗效研究。方法:借鉴CNKI、万方数据库、VIP、PUBMED、Cochrane Library等数据库,检索2017年1月至2023年1月期间发表的低频电刺激结合康复训...目的:利用Meta分析的方法研究国内外关于低频电刺激结合康复训练治疗脊髓损伤神经源性膀胱患者疗效研究。方法:借鉴CNKI、万方数据库、VIP、PUBMED、Cochrane Library等数据库,检索2017年1月至2023年1月期间发表的低频电刺激结合康复训练治疗脊髓损伤神经源性膀胱疗效的随机对照研究(RCT),并且已经正式发表的论著和学位论文,用RevMan5.4软件进行统计分析。结果:共13篇论文(1008例患者)入选,低频电刺激组506例,对照组502例。根据文献中的数据,确定采用治疗后的各项指标来完成评估。分析结果为,低频电刺激组与对照组比较,排尿次数增多[MD: 0.84, 95% Cl: (0.60, 1.08), P 1个月亚组[MD: 21.44, 95% Cl: (16.89, 26.00), P Objective: To investigate the therapeutic effects of low-frequency electrical stimulation combined with rehabilitation training on patients with neurogenic bladder following spinal cord injury (SCI) using a meta-analysis approach. Methods: A randomized controlled study (RCT) on the efficacy of low-frequency electrical stimulation combined with rehabilitation training in the treatment of neurogenic bladder patients with spinal cord injury was retrieved from CNKI, Wanfang database, VIP, PUBMED, Cochrane Library and other databases from January 2017 to January 2023. The officially published papers and dissertations were statistically analyzed using RevMan5.4. Result: A total of 13 papers (1008 patients) were selected, including 506 cases in the low-frequency electrical stimulation group and 502 cases in the control group. Based on the data in the literature, it is determined to use various indicators after treatment to complete the evaluation. The analysis results showed that compared with the control group, the low-frequency electrical stimulation group showed an increase in frequency of urination [MD: 0.84, 95% Cl: (0.60, 1.08), P < 0.00001], a significant decrease in residual urine [MD: −38.00, 95% Cl: (−43.30, −32.71), P < 0.0001], an increase in bladder internal pressure [MD: 14.19, 95% Cl: (12.88, 15.5), P < 0.0001], and a significant increase in bladder capacity [MD: 45.50, 95% Cl: (34.92, 56.08), P < 0.0001], the improvement of bladder function score is more significant [MD: −0.51, 95% Cl: (−0.65, −0.37), P < 0.0001]. The heterogeneity of single urination data is significant. According to the intervention course, a subgroup analysis was conducted. The treatment course was less than 1 month in the subgroup [MD: 104.92, 95% Cl: (92.99, 116.84), P < 0.0001], and the treatment course was more than 1 month in the subgroup [MD: 21.44, 95% Cl: (16.89, 26.00), P < 0.0001]. Conclusion: Compared with the control group, the low-frequency electrical stimulation group showed an increase in urination frequency, a significant increase in residual urine volume, and an increase in bladder pressure and bladder volume after treatment, which improved bladder function and significantly increased single urination volume in the short term. The combination of low-frequency electrical stimulation therapy for patients with neurogenic bladder after spinal cord injury is more effective than rehabilitation therapy alone.展开更多
目的探讨下颏抗阻力训练(chin tuck against resistance,CTAR)联合吞咽低频电刺激治疗脑卒中(cerebral stroke,CS)后吞咽障碍(dysphagia after actue stroke,DAS)患者的疗效。方法采用配对病例对照研究法选取虞城县人民医院康复科2021年...目的探讨下颏抗阻力训练(chin tuck against resistance,CTAR)联合吞咽低频电刺激治疗脑卒中(cerebral stroke,CS)后吞咽障碍(dysphagia after actue stroke,DAS)患者的疗效。方法采用配对病例对照研究法选取虞城县人民医院康复科2021年1月至2023年9月收治的84例CS后DAS患者进行回顾性研究,按治疗方案不同分为参照组(n=42)、研究组(n=42)。其中采用吞咽低频电刺激治疗的患者设为参照组,采用CTAR联合吞咽低频电刺激治疗的患者设为研究组。比较两组治疗前、治疗4周后吞咽功能障碍分级情况、标准吞咽功能评定量表(SSA)评分、功能性经口舌摄食量表(FOIS)评分、舌骨喉活动度、表面肌电图、吞咽障碍特异性生命质量量表(SWAL-QOL)评分。结果研究组治疗4周后吞咽功能障碍改善情况优于参照组(P<0.05);研究组治疗4周后SSA评分为(24.18±2.12)分,低于参照组(28.79±3.77)分,FOIS评分为(5.68±0.45)分,高于参照组(4.63±0.51)分(P<0.05);研究组治疗4周后舌骨前移、上移活动度分别为(11.47±2.55)mm、(17.38±4.59)mm,高于参照组(8.25±1.06)mm、(14.03±4.56)mm(P<0.05);研究组治疗4周后最大波幅为(725.38±55.02)V,高于参照组(605.98±49.65)V,吞咽时程为(1.11±0.15)s,短于参照组(1.33±0.21)s(P<0.05);研究组治疗4周后SWAL-QOL评分为(125.32±15.32)分,高于参照组(102.54±14.25)分(P<0.05)。结论CTAR联合吞咽低频电刺激治疗CS后DAS患者可有效提高舌骨喉活动度,改善吞咽、摄食功能,促进生活质量提升。展开更多
文摘目的:利用Meta分析的方法研究国内外关于低频电刺激结合康复训练治疗脊髓损伤神经源性膀胱患者疗效研究。方法:借鉴CNKI、万方数据库、VIP、PUBMED、Cochrane Library等数据库,检索2017年1月至2023年1月期间发表的低频电刺激结合康复训练治疗脊髓损伤神经源性膀胱疗效的随机对照研究(RCT),并且已经正式发表的论著和学位论文,用RevMan5.4软件进行统计分析。结果:共13篇论文(1008例患者)入选,低频电刺激组506例,对照组502例。根据文献中的数据,确定采用治疗后的各项指标来完成评估。分析结果为,低频电刺激组与对照组比较,排尿次数增多[MD: 0.84, 95% Cl: (0.60, 1.08), P 1个月亚组[MD: 21.44, 95% Cl: (16.89, 26.00), P Objective: To investigate the therapeutic effects of low-frequency electrical stimulation combined with rehabilitation training on patients with neurogenic bladder following spinal cord injury (SCI) using a meta-analysis approach. Methods: A randomized controlled study (RCT) on the efficacy of low-frequency electrical stimulation combined with rehabilitation training in the treatment of neurogenic bladder patients with spinal cord injury was retrieved from CNKI, Wanfang database, VIP, PUBMED, Cochrane Library and other databases from January 2017 to January 2023. The officially published papers and dissertations were statistically analyzed using RevMan5.4. Result: A total of 13 papers (1008 patients) were selected, including 506 cases in the low-frequency electrical stimulation group and 502 cases in the control group. Based on the data in the literature, it is determined to use various indicators after treatment to complete the evaluation. The analysis results showed that compared with the control group, the low-frequency electrical stimulation group showed an increase in frequency of urination [MD: 0.84, 95% Cl: (0.60, 1.08), P < 0.00001], a significant decrease in residual urine [MD: −38.00, 95% Cl: (−43.30, −32.71), P < 0.0001], an increase in bladder internal pressure [MD: 14.19, 95% Cl: (12.88, 15.5), P < 0.0001], and a significant increase in bladder capacity [MD: 45.50, 95% Cl: (34.92, 56.08), P < 0.0001], the improvement of bladder function score is more significant [MD: −0.51, 95% Cl: (−0.65, −0.37), P < 0.0001]. The heterogeneity of single urination data is significant. According to the intervention course, a subgroup analysis was conducted. The treatment course was less than 1 month in the subgroup [MD: 104.92, 95% Cl: (92.99, 116.84), P < 0.0001], and the treatment course was more than 1 month in the subgroup [MD: 21.44, 95% Cl: (16.89, 26.00), P < 0.0001]. Conclusion: Compared with the control group, the low-frequency electrical stimulation group showed an increase in urination frequency, a significant increase in residual urine volume, and an increase in bladder pressure and bladder volume after treatment, which improved bladder function and significantly increased single urination volume in the short term. The combination of low-frequency electrical stimulation therapy for patients with neurogenic bladder after spinal cord injury is more effective than rehabilitation therapy alone.
文摘目的探讨下颏抗阻力训练(chin tuck against resistance,CTAR)联合吞咽低频电刺激治疗脑卒中(cerebral stroke,CS)后吞咽障碍(dysphagia after actue stroke,DAS)患者的疗效。方法采用配对病例对照研究法选取虞城县人民医院康复科2021年1月至2023年9月收治的84例CS后DAS患者进行回顾性研究,按治疗方案不同分为参照组(n=42)、研究组(n=42)。其中采用吞咽低频电刺激治疗的患者设为参照组,采用CTAR联合吞咽低频电刺激治疗的患者设为研究组。比较两组治疗前、治疗4周后吞咽功能障碍分级情况、标准吞咽功能评定量表(SSA)评分、功能性经口舌摄食量表(FOIS)评分、舌骨喉活动度、表面肌电图、吞咽障碍特异性生命质量量表(SWAL-QOL)评分。结果研究组治疗4周后吞咽功能障碍改善情况优于参照组(P<0.05);研究组治疗4周后SSA评分为(24.18±2.12)分,低于参照组(28.79±3.77)分,FOIS评分为(5.68±0.45)分,高于参照组(4.63±0.51)分(P<0.05);研究组治疗4周后舌骨前移、上移活动度分别为(11.47±2.55)mm、(17.38±4.59)mm,高于参照组(8.25±1.06)mm、(14.03±4.56)mm(P<0.05);研究组治疗4周后最大波幅为(725.38±55.02)V,高于参照组(605.98±49.65)V,吞咽时程为(1.11±0.15)s,短于参照组(1.33±0.21)s(P<0.05);研究组治疗4周后SWAL-QOL评分为(125.32±15.32)分,高于参照组(102.54±14.25)分(P<0.05)。结论CTAR联合吞咽低频电刺激治疗CS后DAS患者可有效提高舌骨喉活动度,改善吞咽、摄食功能,促进生活质量提升。
