文章摘要
督脉铺灸结合肌电生物反馈对脊髓损伤神经源性膀胱的影响
Effect of Du Meridian moxibustion combined with electromyographic biofeedback on neurogenic bladder after spinal cord injury
投稿时间:2020-12-09  修订日期:2020-12-21
DOI:
中文关键词: 督脉铺灸  肌电生物反馈  脊髓损伤  神经源性膀胱
英文关键词: Du Meridian moxibustion  electromyographic biofeedback  spinal cord injury  neurogenic bladder
基金项目:漯河医学高等专科学校2017年度立项研究项目(2017-S-LMC-5)
作者单位邮编
张蕊 漯河医学高等专科学校第三附属医院 462000
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中文摘要:
      目的 探究督脉铺灸结合肌电生物反馈对脊髓损伤(spinal cord injury, SCI)神经源性膀胱(neurogenic bladder,NB)的影响。方法 选取2016年10月~2020年10月漯河市康复医院在院康复的115例SCI合并NB患者,根据随机数字表法分为对照组57例和观察组58例,对照组行盆底肌训练结合肌电生物反馈治疗,观察组行督脉铺灸结合肌电生物反馈治疗。2个月后,比较两组排尿量、24h排尿次数、24h失禁次数;残余尿量、最大尿流率、膀胱充盈压力、膀胱容量;生活质量评分。结果 治疗后两组排尿量显著增多,24h排尿次数、24h失禁次数显著减少,观察组变化幅度显著大于对照组,差异有统计学意义(P<0.05);治疗后两组残余尿量、膀胱充盈压力显著降低,最大尿流率、膀胱容量显著增大,观察组变化幅度显著大于对照组,差异有统计学意义(P<0.05);治疗后两组生活质量评分显著升高,观察组升高幅度显著大于对照组,差异有统计学意义(P<0.05)。结论 督脉铺灸结合肌电生物反馈可有效治疗SCI合并NB,值得临床参考。
英文摘要:
      Objective To explore the spinal cord injury, of Du Mai Pu Moxibustion combined with EMG biofeedback on spinal cord injury SCI. Neurogenic bladder neurogenic bladder, NB) the impact. Methods 115 patients with SCI and NB recovered from Luohe Rehabilitation Hospital in Oct 2016~ Oct 2020, It was divided into control group 57 cases and observation group 58 cases, The control group underwent pelvic floor muscle training combined with EMG biofeedback therapy, Observation group was treated with du pulse moxibustion combined with electromyoelectric biofeedback. Two months later, The urine volume ,24 h excretion times and 24 h incontinence times were compared between the two groups; Residual urine volume, maximum urine flow rate, bladder filling pressure, bladder volume; Quality of life score. Results After treatment, the urination volume of the two groups increased significantly, There h a significant reduction in the number of discharges ,24 h incontinence, The change of observation group was significantly larger than that of control group, difference was statistically significant (P<0.05); After treatment, the residual urine volume and bladder filling pressure decreased significantly, The maximum urinary flow rate and bladder volume increased significantly, The change of observation group was significantly larger than that of control group, difference was statistically significant (P<0.05); After treatment, the quality of life scores of the two groups increased significantly, The increase in the observation group was significantly larger than that in the control group, difference was statistically significant (P<0.05). Conclusion Moxibustion combined with electromyoelectric biofeedback can effectively treat SCI combined with NB, It is worthy of clinical reference.
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