盆底生物反馈电刺激联合护理干预对神经源性膀胱 - 第三军医大学学报.doc

盆底肌生物反馈电刺激对脊髓损伤后的患者分别进行的治疗。P＜0.05），但膀胱压力无明显变化（P＞0.05）。治疗组患者在排尿次数、日均排尿量、膀胱容量、最大尿流率、生存质量评分及国际下尿路症状评分上的改善更优于对照组（P＜0.05）。结论 盆底肌生物反馈电刺激联合护理干预能显著改善脊髓损伤患者神经源性膀胱的功能，且对患者的生存质量有较为明显的提升，值得临床推广Effects of pelvic biofeedback electrical stimulation on neurogenic bladder in patients with spinal cord injury Jiang Wei, Zhang Maoshu, Tan Botao, Yin Ying, Jia Gongwei, Liao Chunlian(Department of Rehabilitation, Second Affiliated Hospital, Chongqing Medical University, Chongqing 400010, China) [Abstract] Objective: To evaluate the clinical effects of pelvic biofeedback electrical stimulation on neurogenic bladder in patients with spinal cord injury (SCI). Method: 36 SCI patients with neurogenic bladder were randomly divided into two groups: 18 patients (treatment group) were given pelvic biofeedback electrical stimulation and standard bladder nursing intervention everday for 8 weeks; other 18 patients (control group) were only received standard bladder nursing intervention once a day for for the same course. The voiding dairy, urine dynamics testing, quality of life scores and the international lower urinary tract symptoms (LUTS) scores were recorded during the treatment. Result: Patients in both groups got a significant recover of their baldder function (P0.05), however, a mininal variation of the baldder was shown pressure (P0.05) compared with pre-treatment. Patients in the treatment group had a better improvement in the mean urinary voiding volume (P0.05), bladder capacity (P0.05), maximum urinary flow rate (P0.05) and a less mean frequency of urinary voiding (P0.05), quality of life scores (P0.05) and LUST scores (P0.05) compared with control group. Conclusion: Pelvic biofeedback electrical stimulation combined nursing intervention can significantly improve the neurogenic bladder function in SCI patients, and consequently improved the patients’ life quality. It is worth to spread. [Key word] Biofeedback; Pelvic floor electrical stimulation; Spinal cord injury; Neurogenic bladder;